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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 441 to 450 of 553 results
Transmittal Number: NV-13-011
State: Nevada
Summary: The projected Disproportionate Share Hospital (DSH) federal program allocation will be decreasing, requiring revisions to the current methodology for calculation and distribution of the DSH program. We will also amend the exemption date of the obstetric requirement to the correct federally mandated date of December 22, 1987; clarify the definition of public hospital for the DSH program; and amend the population limits in accordance with AB545.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NV-13-003
State: Nevada
Summary: SPA Part D Benzodiazepines and Barbiturates Coverage.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: NV-13-004
State: Nevada
Summary: Affordable Care Act Preventive Services.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: AZ-13-004
State: Arizona
Summary: Exclude from coverage.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Prescription Drugs
  • Program Administration
Links:
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Transmittal Number: NV-12-008
State: Nevada
Summary: Update to TANF Need Standard Deductible, Personal Needs Allowance due to 2012 Federal Poverty Level Increase.
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Effective Date:
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Links:
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Transmittal Number: AZ-13-003
State: Arizona
Summary: Updates reimbursements under the Arizona Medicaid Fee Schedule.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NV-13-002
State: Nevada
Summary: Increased Payment for Primary Care Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NV-12-003
State: Nevada
Summary: Reimbursement of cost based rate for non-emergency transportation services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: AZ-13-002
State: Arizona
Summary: This amendment provides a technical correction to page 8 of Attachment 4.19-A to re-insert state plan language that was inadvertently deleted in aprevious amendment.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AZ-13-001
State: Arizona
Summary: Updates State Plan to include Tobacco Cessation for Pregnant Women.
Approval Date:
Effective Date:
Topics:
Links:
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