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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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Transmittal Number: IA-11-023
State: Iowa
Summary: Proposes to modify the outpatient hospital reimbursement effective August 1, 2011.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: IA-11-022
State: Iowa
Summary: Modify inpatient hospital reimbursement base rates to pay remaining upper payment limit amount authorized through the hospital provider tax (Hospital Healthcare Access Assessment Program).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: IA-12-0004
State: Iowa
Summary: HHSPA Health Home Services.
Approval Date:
Effective Date:
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Transmittal Number: IA-12-004
State: Iowa
Summary: The State is implementing Health Homes through section 2703 of the Patient Protection and Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: IA-11-018
State: Iowa
Summary: This amendment eliminates graduate medical education (GME) payments to out-of-State hospitals, reduces GME payments to in-State hospitals, and imposes payment reductions for health care-acquired conditions per section 2702 of the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: IA-12-005
State: Iowa
Summary: The State is assuring compliance with Section 6401 of the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148, provider screening and enrollment requirements.
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Effective Date:
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  • Program Administration
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Transmittal Number: UT-12-001
State: Utah
Summary: Presumptive Eligibility for Children.
Approval Date:
Effective Date:
Topics:
  • Eligibility
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Transmittal Number: IA-12-002
State: Iowa
Summary: Updates the description of Iowa's Medical Managed Health Care program to reflect the participation of a managed care organization in the program.
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: UT-11-005
State: Utah
Summary: DSH Payments for Hospitals.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: IA-11-010
State: Iowa
Summary: Proposes to transition remedial services to managed care (MC) and reimburse non-MC providers on a fee schedule. The program name is also changing to Behavioral Health Intervention Services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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