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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 171 to 180 of 728 results
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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Transmittal Number: OR-22-0014
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 7/1/22 through 9/30/22 or until the end of the PHE, whichever is first.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: WA-22-0027
State: Washington
Summary: Updates the fee schedule effective dates for several Medicaid programs and services. This is a regular, budget neutral update to keep rates and billing codes in alignment with the coding and coverage changes from CMS
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: OR-22-0012
State: Oregon
Summary: This SPA approves Oregon’s request for a state option to provide qualifying community-based mobile crisis intervention services.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: WA-22-0013
State: Washington
Summary: Implement changes to payments to hospitals meeting certain criteria for Sole Community Hospitals (SCH). ESSB 5693 separated the

rates into two categories - one for Sole Community Hospitals (SCH), and one for SCHs taking single bed certifications (SBCs).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-22-0017
State: Washington
Summary: This SPA is to amend Washington’s 1915(k) Community First Choice, Home and Community Based Services (HCBS) State Plan Program.
Approval Date:
Effective Date:
Topics:
  • Long-Term Services & Support
Links:
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Transmittal Number: OR-22-0013
State: Oregon
Summary: This SPA approves the continuation of reimbursement for telehealth services after the end of the Public Health Emergency as established under the Disaster Relief SPA TN No. 20-0006
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: WA-22-0018
State: Washington
Summary: Updates required implement changes to payments to hospitals meeting certain criteria for Sole Community Hospitals (SCHs).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-22-0019
State: Washington
Summary: WA-22-0019 is submitted to comply with the American Rescue Plan (ARP) requirements for states to ensure access and coverage to COVID-19 Vaccine, Treatment, and, Testing.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: OR-22-0011
State: Oregon
Summary: The purpose of this amendment is to comply with the American Rescue Plan (ARP) Act of 2021 that requires coverage of COVID-19 vaccines, testing, treatment, and treatment of a condition that could complicate the treatment of COVID-19 in Medicaid.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT