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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 371 to 380 of 1281 results
Transmittal Number: WA-20-0020
State: Washington
Summary: PACE update
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WA-20-0037
State: Washington
Summary: Payments will be increased to one hundred fifty percent (150%) of the hospital’s fee-for-service rate for state and Federal medical assistance programs for services provided by qualifying hospitals. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: WA-20-0030
State: Washington
Summary: Implements a resource disregard of earnings accumulated in a separate account during an individual's enrollment in a working disability eligibility group when determining the individual's subsequent eligibility for other eligibility groups covered under Washington’s state plan
Approval Date:
Effective Date:
Topics:
  • Eligibility
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Transmittal Number: WA-20-0025
State: Washington
Summary: Expands the type of practitioners  who can order home health services
Approval Date:
Effective Date:
Topics:
  • Health Homes
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Transmittal Number: WA-20-0033
State: Washington
Summary: Removes add-on payment rate related to enhanced match due to COVID-19
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WA-20-0036
State: Washington
Summary: This SPA removes language regarding client copayments. The copayment policy was not implemented, therefore the co-pay information is outdated and does not reflect current state agency policy 
Approval Date:
Effective Date:
Topics:
  • Individual CoPayments or Insurance Payments
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Transmittal Number: NY-20-0054
State: New York
Summary: Care Coordination Organization/ Health Home (CCO/HH) Program
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: NY-20-0066
State: New York
Summary: Removes service limitations for physical therapy, occupational therapy, and speech-language therapy services in order to provide increased access to nonpharmacoligic treatment alternatives for pain management.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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    Transmittal Number: WA-20-0038
    State: Washington
    Summary: Implements a full two-year exception to the federal requirement for a Recovery Audit Contractor (RAC), which will expire on October 1, 2022.
    Approval Date:
    Effective Date:
    Topics:
    • Program Administration
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    Transmittal Number: WA-20-0027
    State: Washington
    Summary: The purpose of this SPA is to increase the Medicaid rates for Assisted Living Facilities, Adult Family Homes, Adult Day Health, Agency Providers, Independent Providers, Nursing Facilities, and Nursing Facility Swing Beds. 
    Approval Date:
    Effective Date:
    Topics:
    • Health Homes
    • Financing & Reimbursement
    Links:
    SHARE THIS MEDICAID STATE PLAN AMENDMENT