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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 16 results
Transmittal Number: UT-24-0024
State: Utah
Summary: This amendment changes to provider qualifications for rehabilitative services.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-24-0022
State: Utah
Summary: This amendment changes coverage of extended services for pregnant women to increase the scope of services provided by physician assistants.
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Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: UT-24-0020
State: Utah
Summary: This amendment changes to state plan coverage of other licensed practitioner services to include licensed mental health therapists, licensed social service workers, licensed substance use disorder counselors, and licensed behavioral health coaches.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: UT-24-0001
State: Utah
Summary: This amendment makes modifications to targeted case management provider qualifications.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
  • Coverage
Links:
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Transmittal Number: UT-23-0016
State: Utah
Summary: This amendment modifies the postpartum period referenced in coverage pages from 60 days to 12 months.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Coverage
Links:
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Transmittal Number: IA-23-0012
State: Iowa
Summary: This amendment eliminates the Dental Healthy Behaviors requirement and remove the basic dental benefit package from the Iowa Dental Wellness Plan.
Approval Date:
Effective Date:
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  • Coverage
Links:
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Transmittal Number: IA-23-0003
State: Iowa
Summary: This amendment is to add covered services of functional family therapy and multisystemic therapy for youth.
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  • Coverage
Links:
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Transmittal Number: IA-22-0002
State: Iowa
Summary: This amendment adds registered behavior technicians to the list of eligible providers to provide Applied Behavior Analysis (ABA) services.
Approval Date:
Effective Date:
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  • Coverage
Links:
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Transmittal Number: UT-21-0009
State: Utah
Summary: The SPA updates and clarifies provisions including provider qualifications for psychiatric diagnostic evaluation, mental health assessment, psychological testing, psychotherapy, pharmacologic management, nurse medication management, therapeutic behavioral services, psychosocial rehabilitative services, and peer support services.
Approval Date:
Effective Date:
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  • Coverage
Links:
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Transmittal Number: IA-22-0005
State: Iowa
Summary: This amendment assures that Iowa will cover the mandatory benefit for costs of routine services related to participation in clinical trials in the state plan.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT