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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 311 to 320 of 386 results
Transmittal Number: HI-12-002
State: Hawaii
Summary: Allows for the re-calculation of the prospective payment system reimbursement rate for non-governmental nursing facilities toreflect the newly mandated nursing facility sustainability fee.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: HI-12-008
State: Hawaii
Summary: New provider screening and enrollment requirements.
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Transmittal Number: HI-12-003
State: Hawaii
Summary: Provides for disproportionate share hospital payments for the State fiscal year ending September 30, 2012.
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Effective Date:
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  • Financing & Reimbursement
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Transmittal Number: HI-12-006
State: Hawaii
Summary: This amendment is for the non-payment for provider preventable conditions.
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Transmittal Number: NV-12-007
State: Nevada
Summary: Clarification of the language used in determining cost effectiveness. Medicaid Surveillance and Utilization Review System (SURS) is not involved in the determination of cost effectiveness of the Katie Beckett Eligibility Option recipients. This is a function of the Division of Health Care Financing and Policy.
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Transmittal Number: NV-11-018
State: Nevada
Summary: Requesting to amend Attachment 4.19-B, Page 9 to change the definition of practitioner for the purpose of determining eligibility for enhanced rates for practitioner services delivered by the University of Nevada School of Medicine.
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Transmittal Number: HI-12-004
State: Hawaii
Summary: Restores levels of services in effect as of June 30, 2012 for certain medical services.
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Topics:
  • Benefits
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Transmittal Number: NV-12-005
State: Nevada
Summary: Compliance with regulations with respect to non-payment for provider preventable conditions.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: HI-12-001
State: Hawaii
Summary: Updates Standards for Domiciliary Care Level 1 and Domiciliary Care Level II to Reflect 3.6% COLA Increase for 2012.
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Transmittal Number: NV-12-001
State: Nevada
Summary: The reimbursement methodology for ltadiopharnmeutical and Contract Codes will be added.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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