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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 461 to 470 of 785 results
Transmittal Number: CT-16-011
State: Connecticut
Summary: Adjusts reimbursement for dental services, including adding and deleting selected Current Dental Terminology codes to ensure the dental fee schedule remains compliant with the Health Issuance Portability and Accountability Act.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: UT-15-0023
State: Utah
Summary: Updates the effective date of rates for physician services to November 1, 2015, to revert to levels of reimbursement in effect on June 30, 2015.
Approval Date:
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Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: UT-16-0008
State: Utah
Summary: Updates the hospice program to include the service intensity add-on payment as an available reimbursement in addition to the existing payment already outlined in the State Plan.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: UT-16-0010
State: Utah
Summary: This Amendment only addresses the effective date of new FULs finalized in the Covered Outpatient Drug Rule.
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  • Program Administration
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Transmittal Number: UT-16-0009
State: Utah
Summary: Updates methodology for supplemental disproportionate share hospital payments.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: UT-16-0006
State: Utah
Summary: Removes obsolete provisions for retroactive cost settlement in both San Juan County and Wasatch County.
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  • Program Administration
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Transmittal Number: UT-16-0002-MM
State: Utah
Summary: Adds Former Foster Care Youth: Adds eligibility for individuals who were in foster care from states.
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Topics:
  • Eligibility
  • Program Administration
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Transmittal Number: UT-15-0013
State: Utah
Summary: Updates the effective date of rates for clinic services to July 1, 2015.
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Effective Date:
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  • Program Administration
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Transmittal Number: CT-15-049
State: Connecticut
Summary: Adds reimbursement for medication administration prompting service performed by home health aides within home health agencies.
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  • Financing & Reimbursement
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Transmittal Number: CT-15-045
State: Connecticut
Summary: Revises the Dialysis Clinic fee schedule by adding HealthCare Common Procedure Coding System Code Q4801- Injection, epoetin, alfa, 100 Units for ESRD on dialysis to replace J0886.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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