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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 51 to 60 of 795 results
Transmittal Number: CT-24-0012
State: Connecticut
Summary: This plan amendment implements wage updates for personal care attendants (PCAs) under the Community First Choice (CFC) program.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CT-24-0010
State: Connecticut
Summary: This plan amendment adds reimbursement for urgent crisis services provided by Behavioral Health Clinics.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CT-24-0013
State: Connecticut
Summary: This plan amendment implements a one-time supplemental payment for in-state Federally Qualified Health Centers (FQHCs).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ME-16-0008
State: Maine
Summary: This amendment proposes adding a mental health clubhouse and specialized group services to the State Plan.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ME-16-0012
State: Maine
Summary: This plan amendment updates the payment methodology for personal care services provided by Private Non-Medical Institutions (PNMIs) Appendix C facilities.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ME-17-0013
State: Maine
Summary: This plan amendment updates the payment methodology for personal care services provided by Adult Family Care Homes and Private Non-Medical Institutional "Appendix C" facilities.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ME-16-0010
State: Maine
Summary: Plan amendment updates the payment methodology for certain rehabilitative services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CT-23-0022
State: Connecticut
Summary: This plan amendment makes updates to the physician office and outpatient fee schedule.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CT-23-0017
State: Connecticut
Summary: To update the Alternative Benefit Plan (ABP) to move specified behavioral health services provided by clinics to the rehabilitative services benefit category.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: ME-24-0021
State: Maine
Summary: This Amendment will adopt the 12-month continuous eligibility mandate for children, as enacted by Section 5112 of the Consolidated Appropriations Act of 2023.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT