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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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Transmittal Number: NV-11-003
State: Nevada
Summary: Update State Plan to document participation in Public Assistance Reporting Information System (PARIS) as mandated.
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Transmittal Number: NV-11-002
State: Nevada
Summary: Update to TANF Need Standard Deductible, Personal Needs Allowance due to 2011 Federal Poverty Level Increase.
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: AZ-11-005
State: Arizona
Summary: Restores medically necessary transplant services to Arizona Health Care Cost Containment system members meeting nationally-recognized criteria for certain non-experimental, non-investigational organ and tissue transplants that previously had been eliminated effective October 1, 2010.
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Topics:
  • Benefits
  • Eligibility
  • Program Administration
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Transmittal Number: AZ-11-001A
State: Arizona
Summary: Updates the amounts of Of Arizona s graduate medical education and indirect medical education payment pools andAnd designates the qualifying teaching hospitals for each payment pool for the fiscal period of July 1, 2010 to June 30, 2011.
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Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: AZ-11-004
State: Arizona
Summary: Provides assurance of Arizona s participation in the Public Assistance Reporting Information System (PARIS).
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  • Program Administration
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Transmittal Number: AZ-11-002
State: Arizona
Summary: Add a description of hospice services under the Early Periodic Screening, Diagnosis and Treatment (EPSDT) benefit.
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  • Benefits
  • Program Administration
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Transmittal Number: AZ-10-001
State: Arizona
Summary: Implements nominal cost sharing.
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Topics:
  • Cost Sharing
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Transmittal Number: NV-10-013
State: Nevada
Summary: This state plan amendment is to memorialize the State of Nevadas tribal consultation process as extracted from the document Tribal Consultation Process Nevada Department of Health and Human Services (NDHHS) and the Indian Tribes in the State of Nevada. The consultation process has been in effect since March 2010. The effective date of the state plan amendment is October 1, 2010 based upon guidance from the Centers from Medicare and Medicaid Services (CMS). ln addition, CMS requires the consultation process to be added under the authority of the Medical Care Advisory Committee (MCAC).
Approval Date:
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  • Program Administration
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Transmittal Number: AZ-11-003
State: Arizona
Summary: Requires that a State shall not provide any payments for items or services provided under the State plan or under a waiver to any financial institution or entity located outside of the United States.
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  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: AZ-10-013
State: Arizona
Summary: Allows licensed pharmacists employed by an AHCCCS-registered pharmacy and acting within their scope of practice to administer seasonal flu and pneumococcal vaccines and anaphylaxis agents. AHCCCS-registered pharmacies will be reimbursed an administration fee for seasonal flu and pneumococcal vaccines and anaphylaxis agents administered by licensed pharmacists.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT