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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 61 to 70 of 728 results
Transmittal Number: OR-24-0004
State: Oregon
Summary: This plan amendment implements supplemental payments to nursing homes participating in the Oregon CareWorks program.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: OR-24-0007
State: Oregon
Summary: This plan amendment updated the rates for orthodontic services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: WA-24-0004
State: Washington
Summary: The purpose is to update the rates and methodology for short term psychiatric per diem rates and remove outdated references and methodologies no longer in use.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: OR-24-0001
State: Oregon
Summary: This amendment is to remove the Targeted Case Management program for clients with poorly controlled asthma or a history of environmentally induced respiratory distress from the state plan as the program ended on July 1, 2023.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
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Transmittal Number: WA-24-0001
State: Washington
Summary: This amendment is to add a new 1915(i) home and community-based services (HCBS) benefit and Community Behavioral Health Support Services - Supported Supervision and Oversight.
Approval Date:
Effective Date:
Topics:
  • Home and community based services
Links:
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Transmittal Number: WA-24-0002
State: Washington
Summary: add a new 1915(i) home and community-based services (HCBS) benefit to Managed Care and to add Community Behavioral Health Support Services - Supported Supervision and Oversight.
Approval Date:
Effective Date:
Topics:
  • Managed Care
Links:
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Transmittal Number: WA-24-0003
State: Washington
Summary: This amendment changes to the income eligibility methodologies for Community Behavioral Health Support Services (CBHS) in Washington’s section 1915(i) authorized Supportive Supervision and Oversight benefit.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: WA-24-0009
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-24-0002
State: Oregon
Summary: This SPA increased the reimbursement rates for primary care services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: WA-23-0049
State: Washington
Summary: This SPA updated the fee schedule effective dates for several Medicaid programs and services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT