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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 101 to 110 of 950 results
Transmittal Number: CT-22-0019
State: Connecticut
Summary: This plan updates the reimbursement methodology for LARCs

under FQHCs.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MT-22-0033
State: Montana
Summary: This plan amendment proposes to adopt Version 39.1 of the 3M All Patient Refined Diagnosis Related Groups (APR-DRG) grouper and reflects changes to DRG relative weights, average length of stays, and adds and/or deletes select DRGs.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MT-22-0031
State: Montana
Summary: Effective for services on or after October 1, 2022, this amendment updates the reimbursement methodology for inpatient hospitals services for State Fiscal Year 2023.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MT-22-0004
State: Montana
Summary: The purpose of this SPA is to assume the responsibility of enrolling practices, other than Federally Qualified Health Centers or Rural Health Clinics, into the Comprehensive Primary Care Plus (CPC+) program; establish enrollment qualifications for Tracks 1 and 2; and describe a methodology under State Plan Section 4.19-B to pay performance-based incentives to CPC+ providers based on utilization measures and quality measure
Approval Date:
Effective Date:
Topics:
  • Managed Care
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-22-0025
State: Connecticut
Summary: This amendment implements an acuity-based reimbursement methodology for nursing facilities phased in over a

three-year period.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-22-0028
State: Connecticut
Summary: This amendment looks to add coverage and reimbursement of Community Violence Prevention Services.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
  • Preventative Services
Links:
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Transmittal Number: CT-22-0029
State: Connecticut
Summary: This ABP amendment adds coverage and reimbursement for Community Violence Prevention Services.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
  • Preventative Services
Links:
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Transmittal Number: CT-22-0032
State: Connecticut
Summary: This plan updates rates under the Connecticut Home Care Program for Elders (CHCPE).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-22-0034
State: Connecticut
Summary: Updated the State Plan language regarding the Community First Choice program to implement the provisions of the recently updated collective bargaining agreement between the state and the union representing personal care attendants (PCAs).
Approval Date:
Effective Date:
Topics:
  • Home and community based services
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-22-0024
State: Connecticut
Summary: This plan updates the rates and methodology for clinic services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT