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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: IL-11-09
State: Illinois
Summary: Redistributing DSH overpayments determined by independent certified audits.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: IL-11-06
State: Illinois
Summary: Specifies the Tribal Consultation Process for Illinois Medicaid and CHIP Program Changes.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Tribal Issues
Links:
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Transmittal Number: IL-11-10
State: Illinois
Summary: Authorizes Illinois in Include Optometrist Services Under Physician Services.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: IA-11-011
State: Iowa
Summary: Required due to a premium scale adjustment per 441 IAC 75.1(39). The maximum preium amount is based on avg. state employee health insurance premium, & that amount increased. Therefore, premiums for MEPD have increased.
Approval Date:
Effective Date:
Topics:
  • Premiums
Links:
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Transmittal Number: IA-11-008
State: Iowa
Summary: Implements the nursing facility preadmission screening and resident review (PASRR) specialized services and categorical determinations definitions.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: IL-11-08
State: Illinois
Summary: Prohibits Illinois from making payments for items or services provided under the State plan to any finanial institution or entity located outside of the United States.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: IA-11-007
State: Iowa
Summary: To indicate that Iowa has implemented a system that provides for data matching through the Public Assistance Reporting Information system (PARIS), including matching with medical assistance programs of other states.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: IA-09-024
State: Iowa
Summary: Reduction in payments to providers, per-across-the-board budget cuts made by the Governor.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: IA-10-020
State: Iowa
Summary: This request modifies inpatient hospital reimbursement for implementation of a hospital provider tax (quality assurance assessment fee).
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: IA-10-021
State: Iowa
Summary: Modifies Outpatient Hospital Reimbursement for Implementation of a Hospital Provider Tax.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT