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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 531 to 540 of 674 results
Transmittal Number: CA-13-0022-MM2
State: California
Summary: Incorporates the MAGI-Based Eligibility Process Requirements, including Single Streamlined Application.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: CA-13-033
State: California
Summary: Provides that inpatient hospital services furnished by non-designated public hospitals will be reimbursed under an All Patient Refined Diagnosis Related Group (APR-DRG) prospective payment methodology.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: CA-13-019
State: California
Summary: This amendment changes the audit selection methodology for purposes for purposes for rate setting for intermediate care facilities for the developmentally disabled including habilitative and nursing.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CA-13-037
State: California
Summary: Adds Imperial County to the list of geographic areas offering Targeted Case Management services for Medically Fragile Individuals.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: CA-13-036
State: California
Summary: Targeted Case Management.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CA-13-0026-MM
State: California
Summary: Incorporates Citizenship and Non-Citizenship Eligibility Requirements.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: CA-13-014
State: California
Summary: Establishes a one percentage point increase in the federal medical assistance percentage for adult vaccines recommended by the Advisory Committee on Immunization Practices and clinical preventive services assigned a grade of A or B by the United States Preventive Services Task Force.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
  • Program Administration
Links:
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Transmittal Number: CA-13-0025-MM
State: California
Summary: Incorporates Residency Requirements.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: HI-13-008-MM
State: Hawaii
Summary: Approval for the State to use an interim alternative single streamlined online application until March 30, 2014.
Approval Date:
Effective Date:
Topics:
Links:
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Transmittal Number: HI-13-0008-MM
State: Hawaii
Summary: Incorporates MAGI-Based Eligibility Process Requirements Including Single Streamlined Application.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT