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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 351 to 360 of 459 results
Transmittal Number: WA-13-0024-MM
State: Washington
Summary: Describes Single State Agency Delegation of Appeals and Determinations.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: WA-13-13
State: Washington
Summary: This SPA implements a new supplemental inpatient hospital payment to private hospitals.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-14-0001
State: Washington
Summary: This SPA updates the optional state supplement standards for special income level groups consistent with the published 2014 federal poverty levels.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-12-019
State: Washington
Summary: Hospital Quality Incentive Payments.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-13-0031-MM
State: Washington
Summary: Incorporates the Modified Adjusted Gross Income MAGI Based Eligibility Process Requirements, Including the Single Streamlined Application.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: WA-13-0032-MM3
State: Washington
Summary: Incorporates Modified Adjusted Gross Income MAGI Based Methodologies.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: WA-13-28
State: Washington
Summary: Mental Health Services and Naturopaths.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: WA-13-14
State: Washington
Summary: This SPA amends hospital outpatient payment methodologies to comply with state and federal rules and the state 2013-2015 budget. Changes will include reductions to hospital outpatient rates, creation of a hospital upper payment limit payment and other possible revisions.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: WA-13-43
State: Washington
Summary: Eliminates the Medicaid Breast and Cervical Cancer Treatment Program upon the implementation of Medicaid Expansion under the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
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Transmittal Number: WA-13-0034-MM
State: Washington
Summary: Incorporates the Citizen and Non-Citizen Eligibility Requirements into the Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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