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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 321 to 330 of 459 results
Transmittal Number: WA-15-0008
State: Washington
Summary: This SPA clarified the policy for Federal Qualified Health Centers (FQHC's) to request a rate adjustment for a change of scope of services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: WA-15-0004
State: Washington
Summary: This SPA updates the optional state supplemental standards for special income level groups consistent with the published 2015 federal poverty levels.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-14-0039
State: Washington
Summary: This SPA updates the effective dates of rates paid for Applied Behavior Analysis services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WA-15-0005
State: Washington
Summary: This SPA adds information for preventative dental services for children age 20 and under that was inadvertently removed from the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Dental
  • Program Administration
Links:
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Transmittal Number: WA-14-0038
State: Washington
Summary: This SPA updated the effective dates of rates paid for Physician services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: WA-14-0043
State: Washington
Summary: This SPA reduces the sole community health disproportionate share hospital pool from $800,000 total computable per year to $600,000 for SFY 2015.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-14-0044
State: Washington
Summary: Amends the Alternative Benefit Package for the new adult expansion group to account for programatic changes made to the State Plan during 2014, subsequent to its original approval.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WA-14-0031
State: Washington
Summary: To ensure that same sex maggiages ude the same rules as those for opposite sex marriages when determining eligibility for Medicaid programs not based on Modified Adjusted Gross Income methodologies.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WA-14-0036
State: Washington
Summary: Updates the effective dates of rates paid for dental services which included a rate reduction for children's orthodontics.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-14-026
State: Washington
Summary: Updates the nursing facility rates SFY 2015.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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