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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 81 to 90 of 392 results
Transmittal Number: IA-21-0020
State: Iowa
Summary: This plan amendment implements an increase for Habilitation Rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: IA-21-0009
State: Iowa
Summary: Increases the professional dispensing fee from $10.07 to $10.38 per prescription,

based on a recent cost of dispensing survey of Iowa Medicaid enrolled pharmacy providers.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
Links:
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Transmittal Number: IA-21-0012
State: Iowa
Summary: This plan amendment increases air ambulance reimbursement rates
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: IA-21-0013
State: Iowa
Summary: This plan amendment increases the reimbursement rates for home health agencies based on the Medicare low utilization payment adjustment (LUPA) methodology
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: TN-21-0001
State: Tennessee
Summary: This amendment proposes to add payment methodology for COVID-19 vaccine administration.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: TN-21-0004
State: Tennessee
Summary: This SPA proposes to allow for limitation on amount, duration and scope of medical care and services provided for prescribed drugs through value-based and supplemental
Approval Date:
Effective Date:
Topics:
  • Prescribed Drugs
Links:
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Transmittal Number: IA-21-0006
State: Iowa
Summary: Proposes to add medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
Links:
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Transmittal Number: IA-21-0007
State: Iowa
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to temporarily modify the provider recertification process for providers of 1915(i) state plan HCBS. This amendment allows the state to align the state's processes with the state's 1915(c) HCBS and Appendix K submissions.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Coverage
Links:
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Transmittal Number: TN-21-0003
State: Tennessee
Summary: Mandatory Coverage of Medication-Assisted Treatment (MAT) under section 1006 (b) of the SUPPORT Act.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: TN-21-0002
State: Tennessee
Summary: Effective March 1, 2021, this amendment implements the 1915 (1) State Plan Option that provides Medicaid Assistance for eligible individuals who are patients in eligible institutions for mental diseases (IMD) in accordance with Section 5052 of Public Law 115-271. 
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT