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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 41 to 50 of 662 results
Transmittal Number: MI-24-1001
State: Michigan
Summary: Provides authority to expand eligibility for Group D Targeted Case Management to beneficiaries age 21 to 26, as well as to beneficiaries over age 26 with inherited red blood cell disorders.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
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Transmittal Number: MI-24-0002
State: Michigan
Summary: This plan amendment extends the MIDocs Consortium within the State of Michigan’s Graduate Medical Education (GME) Innovations Sponsoring Institution Program through Fiscal Year 2024
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MI-24-0120
State: Michigan
Summary: To disregard, under the authority of section 1902(r)(2) of the Social Security Act, assistance received from guaranteed income programs.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: IA-23-0023
State: Iowa
Summary: With this amendment, the state will permanently adopt COVID-19 PHE flexibilities; and add Remote Supports & Host Home Service modalities to align with the state's 1915(c) HCBS waivers.
Approval Date:
Effective Date:
Topics:
  • Home and community based services
Links:
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Transmittal Number: MI-24-0110
State: Michigan
Summary: Implements Section 214 of CHIPRA in order to cover pregnant individuals and lawfully residing individuals under the age of 21.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: IA-24-0001
State: Iowa
Summary: This plan amendment implements the tri-annual outpatient hospital rate rebase.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MI-23-0500
State: Michigan
Summary: Updates G2c and G3 templates to eliminate the Healthy Michigan Plan copay tier and modify the cost sharing limitation language to remove the references to the Healthy Michigan Plan.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
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Transmittal Number: MI-24-0500
State: Michigan
Summary: Updates the G3 templates to eliminate the MiChild Premium from the SPA page.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
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Transmittal Number: MI-24-0100
State: Michigan
Summary: To address continuous eligibility for children under 19 years of age.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: MI-24-0001
State: Michigan
Summary: Eliminates the MiChild Premium Payment.
Approval Date:
Effective Date:
Topics:
  • Premiums
Links:
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