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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 471 to 480 of 531 results
Transmittal Number: WA-11-020
State: Washington
Summary: The purpose of this amendment is to update the State plan by decreasing overall Disproportionate Share Hospital payments. In addition to reducing overall DSH payments, this amendment also establishes a new DSH pool, CHPDSH (Children's Health Insurance Program DSH). Hospitals can first become eligible for CHPDSH payments on July 1, 2011.
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Transmittal Number: WA-11-016B
State: Washington
Summary: This amendment modifies the alternative payment methodology for Rural Health Clinics (RHCs) and updates the reimbursement methodology for new RHCs and RHCs that have merged.
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  • Financing & Reimbursement
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Transmittal Number: WA-11-016A
State: Washington
Summary: This amendment modifies the alternative payment methodology for services provided at Rural Health Clinics.
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Transmittal Number: WA-11-015A
State: Washington
Summary: This amendment modifies the alternative payment methodology for services provided at Federally Qualified Health Centers.
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  • Financing & Reimbursement
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Transmittal Number: WA-11-30
State: Washington
Summary: Implements the Long Term Care Partnership for the Protection of Disregarded Assets and Resources from Estate Recovery for Partnerships Issued on or after December 1, 2011
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  • Benefits
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Transmittal Number: WA-11-28
State: Washington
Summary: Restores Non-Emergency Dental Services and Dentures for Medicaid Recipients Age 21 and over Who are Developmentally Disabled as Defined by the State
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Transmittal Number: WA-11-25
State: Washington
Summary: Implements the Solicitation from Indian Health Programs Prior to the Submission of Any Plan Amendment.
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  • Program Administration
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Transmittal Number: WA-11-31
State: Washington
Summary: Enacts Seven Percent Increase in Personal Care Service (PCS) for all 17 Levels of Medicaid Rates Paid to Licensed Boarding Homes that Have Contracts to Provide Assisted Living, Adult Residential Care, and Enhanced Adult Residential Care Services.
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  • Financing & Reimbursement
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Transmittal Number: WA-11-23
State: Washington
Summary: Re-establishes the School-Based Healthcare Services Program for Children in Special Education.
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Transmittal Number: WA-11-007
State: Washington
Summary: Implements Concurrent Care for Children on Hospice.
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