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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 1 to 10 of 10 results
Transmittal Number: WA-24-0023
State: Washington
Summary: This SPA amends State Health Home Program to comply with new federal requirements for mandatory Health Home Core Set(s) reporting.
Approval Date:
Effective Date:
Topics:
  • Health Homes
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: OK-21-0022-A
State: Oklahoma
Summary: The Centers for Medicare and Medicaid Services (CMS) received Oklahoma State Plan Amendment (SPA) OK-21-0022-A for migrating

individuals currently receiving Health Homes services to other care coordination models in place to serve this population.
Approval Date:
Effective Date:
Topics:
  • Health Homes
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OK-21-0022-B
State: Oklahoma
Summary: The Centers for Medicare and Medicaid Services (CMS) received Oklahoma State Plan Amendment (SPA) OK-21-0022-B to migrate individuals currently being served in Health Homes to other care coordination models in the state.
Approval Date:
Effective Date:
Topics:
  • Health Homes
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OK-21-0022-D
State: Oklahoma
Summary: Termination of Health Home program; removal of references in State Plan pages.
Approval Date:
Effective Date:
Topics:
  • Health Homes
Links:
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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
Links:
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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:
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Transmittal Number: WA-18-0028
State: Washington
Summary: Implemented a 20 percent rate increase across all three tiers of Health Home services and reduced the performance incentive payment to 5 percent.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Health Homes
Links:
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Transmittal Number: OK-14-11 T
State: Oklahoma
Summary: This SPA implements Health Homes.
Approval Date:
Effective Date:
Topics:
  • Health Homes
Links:
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Transmittal Number: OK-14-12 T
State: Oklahoma
Summary: This SPA implements Health Homes as authorized under Section 2703 of the Patient Protection and Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Health Homes
Links:
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Transmittal Number: WA-13-17 H
State: Washington
Summary: Health Home.
Approval Date:
Effective Date:
Topics:
  • Health Homes
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT