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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 61 to 70 of 795 results
Transmittal Number: CT-23-0023
State: Connecticut
Summary: This plan amendment updates rates for services under Connecticut’s Community First Choice (CFC) program.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CT-23-0018
State: Connecticut
Summary: This plan amendment updates rates for dental services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CT-23-0015
State: Connecticut
Summary: This plan amendment updates procedure codes for rehabilitative clinic and dental services fee schedules.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CT-23-0014
State: Connecticut
Summary: This amendment makes the following changes: maintains the $500.00 add-on per diem rate for patients on ventilators in free-standing licensed inpatient chronic disease hospitals; updates federal HCPCS and other reimbursements for physician office & outpatient, durable medical equipment, orthotics and prosthetics, and medical surgical supplies fee schedules; and implements a rate increase of 4.9 percent for select home health services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ME-24-0020
State: Maine
Summary: This amendment proposes to amend requirements for individuals receiving targeted case management (TCM) services, specifically for members experiencing homelessness, by adding the allowance that a member may also have a history of homelessness and a Service Prioritization Decision Assistance Tool (SPDAT) score of 20-60 and qualify for this level of TCM services.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
  • Targeted Case Management
Links:
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Transmittal Number: CT-23-0012
State: Connecticut
Summary: This amendment continues certain flexibilities previously approved in Disaster Relief State Plan Amendments and a Section 1135 Disaster Relief waiver.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
  • Reimbursement
  • Disaster Relief
Links:
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Transmittal Number: CT-23-0012-A
State: Connecticut
Summary: This plan amendment updates the reimbursement methodology for programs under Home and Community-Based Services (HCBS).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ME-24-0010
State: Maine
Summary: This amendment proposed income disregards for the Qualified Medicare Beneficiary (QMB) and Qualifying Individual (QI) eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
  • Medicaid-Medicare Issues
Links:
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Transmittal Number: ME-15-0023
State: Maine
Summary: This plan amendment updates the payment methodology for personal care services provided by Private Non-Medical Institutions (PNMIs) on remote islands.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ME-15-0018
State: Maine
Summary: This plan amendment updates the payment methodology for rehabilitative services and personal care services provided by Private Non-Medical Institutions (PNMIs).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT