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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 251 to 260 of 485 results
Transmittal Number: WA-17-0029
State: Washington
Summary: This amendment updated the effective date for personal care services rates in accordance with budget appropriations and direction from the state Legislature.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: WA-17-0036
State: Washington
Summary: This amendment adjusts the personal needs allowance (PNA) annually to reflect cost-of-living adjustments (COLAs) to federal Social Security benefits, enabling individuals receiving long-term care to have their PNA increased by the percentage of any COLA to Social Security benefits.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-17-0024
State: Washington
Summary: This amendment implemented three new behavior analysis professions and Applied Behavior Analysis (ABA) credentialing in Washington State.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: WA-17-0035
State: Washington
Summary: This SPA removes pre-authorization for Voluntary Inpatient Psychiatric Service FFS.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: WA-17-0033
State: Washington
Summary: This amendment updated the effective date of the conversion factors used to set payment rates for several Medicaid programs.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: WA-17-0026
State: Washington
Summary: This SPA updates qualification requirements for providers who deliver Screening, Brief Intervention, and Referral to Treatment (SBIRT) services and expands the settings where SBIRT services can be delivered.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: WA-17-0032
State: Washington
Summary: This SPA removes the requirement for prior authorization for hospice services, consistent with federal policy and state law.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: WA-17-0039
State: Washington
Summary: This amendment is a technical correction to remove duplicative information from attachment 4.19-B, IX other non-institutional services, page 23.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: WA-17-0025
State: Washington
Summary: To expand covered telemedicine services to include "store and forward" telecommunication-based services. "Store and forward" is the asynchronous transmission of medical information to be reviewed at a later time by the physician or practitioner at the distant site.
Approval Date:
Effective Date:
Topics:
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Transmittal Number: AS-12-007
State: American Samoa
Summary: Allows for the coverage of lawfully residing pregnant women and children under Section 214 of CHIPRA.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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