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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 501 to 510 of 674 results
Transmittal Number: CA-14-013
State: California
Summary: Removes Barbiturates, Benzodiazepines, and Agents Used to Promote Smoking Cessation from the List of Drugs the State Medicaid Program May Exclude from Coverage or Otherwise Restrict.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: HI-13-002
State: Hawaii
Summary: This SPA provides for exceptions to Hawaii's Medicaid Recovery Audit Contractor program.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CA-12-001B
State: California
Summary: Reimbursement for Air Medical Transportation Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: HI-14-002
State: Hawaii
Summary: The amendment is required by 42 C.F.R. 433.206(h) to allow the State to claim an increased federal medical assistance percentage for enrollees in the adult group.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CA-13-0024-MM4
State: California
Summary: Program Administration describes the Administrative responsibilities of the department of Health Care Services in it's role as the Medi-Cal Single State Agency.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CA-14-012
State: California
Summary: This SPA adds licensed marriage and family therapists, registered marriage and family therapist interns, registered associate clinical social workers, and psychology assistants as providers of psychology services under the direction of a licefised practitioner within their scope of service.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: CA-13-018
State: California
Summary: Restore Medi-Cal Adult Dental Benefits.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Dental
Links:
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Transmittal Number: HI-13-004a
State: Hawaii
Summary: Creates the Alternative Benefit Plan package for childless adults in Hawaii covered under 1902(a)(10)(A)(i)(VIII) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: CA-13-040
State: California
Summary: Provides a new supplemental payment to freestanding skilled nursing facilities under the Quality and Accountability Supplemental Payment Program.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CA-13-035
State: California
Summary: Affordable Care Act Alternative Benefit Plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT