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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 111 to 120 of 531 results
Transmittal Number: WA-22-0032
State: Washington
Summary: This amendment updates the requirements in the Medicaid State Plan for licensed mental health professionals who provide outpatient mental health services to clients eighteen years of age and younger.
Approval Date:
Effective Date:
Topics:
  • Other Licensed Practitioners
Links:
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Transmittal Number: WA-22-0034
State: Washington
Summary: This SPA amendment is to disregard all countable resources in determining eligibility for the QMB, SLMB, and QI eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: WA-22-0033
State: Washington
Summary: This SPA updated the fee schedule effective dates for several Medicaid programs and services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: WA-22-0016
State: Washington
Summary: This amendment updates the agency administration information for Washington State's single state agency, the Health Care Authority.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: WA-22-0030
State: Washington
Summary: This amendment updates the state plan to waive the Recovery Audit Contractor (RAC) Program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WA-22-0029
State: Washington
Summary: Provider and Facility Rates
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-22-0020
State: Washington
Summary: The purpose of this SPA is to increase the Personal Needs Allowance (PNA) for all Medicaid in-home clients, including PACE enrollees, from 100 percent of the Federal Poverty Level to 300 percent of the Federal Benefit Rate.


Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: PR-22-0004
State: Puerto Rico
Summary: To remove the expiration date from PR SPA 21-0011 and add language to keep the Puerto Rico Local Poverty Level at 85 percent of the federal poverty level.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: PR-22-0005
State: Puerto Rico
Summary: To remove the expiration date from PR SPA 21-0012 and modify the income disregard for certain categorically needy and medically needy eligibility groups in the Puerto Rico Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Eligibility
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Transmittal Number: WA-22-0022
State: Washington
Summary: This amendment is to increase the excess home equity limit to the federal maximum allowed amount when determining a person’s eligibility for SSI-related long-term care (LTC) services as described in WAC 182-513-1350.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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