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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 151 to 160 of 728 results
Transmittal Number: OR-22-0029
State: Oregon
Summary: This amendment is to continue flexibilities granted in the Oregon 1915(j) Self-Directed Personal Assistance Services beyond the end of the COVID-19 Public Health Emergency (PHE).
Approval Date:
Effective Date:
Topics:
  • Home and community based services
Links:
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Transmittal Number: OR-22-0027
State: Oregon
Summary: This SPA has been submitted as related to the Inflation Reduction Act of 2022 temporary, 5-year increase for physician administered biosimilar drugs that will be paid Medicare's Average Sales Price (ASP) plus 8% (rather than plus 6%).
Approval Date:
Effective Date:
Topics:
  • Physician Administered Drugs
Links:
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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: OR-22-0028
State: Oregon
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to extend the 5% increase in payment rates for ODDS services and settings for the period 1/1/23 through 6/30/23 or until the end of the PHE which ever is first.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
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: OR-22-0026
State: Oregon
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to provide incentive payments to residential facilities to encourage discharges from hospitals.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • 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: OR-22-0022
State: Oregon
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to implement new rate models for most Office of Developmental Disabilities Services (ODDS) providers.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT