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Medicaid State Plan Amendments

A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.

When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.

Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.

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Showing 211 to 220 of 485 results
Transmittal Number: WA-19-0004
State: Washington
Summary: The SPA increases the personal needs allowance (PNA) to $70 for individuals and $140 for couples medical institutions and residential settings in accordance with COLA adjustments and legislative funding.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-18-0038
State: Washington
Summary: Mandatory Education Regarding False Claims Act.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: WA-18-0036
State: Washington
Summary: Requests a full two-year exception to the federal requirement for a Recovery Audit Contractor (RAC).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-19-0001
State: Washington
Summary: Updated the fee schedule effective updates for several Medicaid programs and services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-18-0037
State: Washington
Summary: Integrated Managed Care.
Approval Date:
Effective Date:
Topics:
  • Managed Care
Links:
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Transmittal Number: WA-18-0017
State: Washington
Summary: Updates the Medicaid State Plan to integrate physical and behavioral health services.
Approval Date:
Effective Date:
Topics:
  • Health Services Initiatives
Links:
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Transmittal Number: WA-18-0029
State: Washington
Summary: This eliminates a separate reimbursement methodology for bariatric surgery from the State plan and transfers reimbursement for this service to the routine DRG system.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: WA-18-0033
State: Washington
Summary: Increases access to Medication Assisted Treatment (MAT) for opioid disorder.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-18-0035
State: Washington
Summary: Updated certain links and fee schedule effective dates for several Medicaid programs and services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: WA-18-0028
State: Washington
Summary: Implemented a 20 percent rate increase across all three tiers of Health Home services and reduced the performance incentive payment to 5 percent.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Health Homes
Links:
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