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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 421 to 430 of 574 results
Transmittal Number: CA-14-030
State: California
Summary: This SPA increases the threshold used to determine the cost-effectiveness of continued estate recovery collection efforts.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: CA-14-028
State: California
Summary: This SPA increases the cost-effectiveness threshold for pursuing recovery from claims related to a trauma code diagnosis.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CA-13-029
State: California
Summary: Adds unmarried pregnant women under the age of 21 as a reasonable classification of children under 42 CFR 435.222, and also disregards all household income for this group.
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Effective Date:
Topics:
  • Benefits
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Transmittal Number: CA-14-002
State: California
Summary: Supplemental Reimbursement for Hospital Outpatient Service.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CA-14-022
State: California
Summary: This SPA adds Shasta County to the "Children Under the Age of 21" Targeted Case Management group.
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Effective Date:
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  • Program Administration
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Transmittal Number: CA-14-023
State: California
Summary: This SPA adds Imperial County and San Mateo County to the "Individuals at Risk of Institutionalization" Targeted Case Management group.
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Effective Date:
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  • Program Administration
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Transmittal Number: CA-14-024
State: California
Summary: This SPA adds Imperial County and Santa Cruz County tothe "Individuals in Jeopardy of Negative Health of Psycho-Social Outcomes" Targeted Case Management.
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Effective Date:
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  • Program Administration
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Transmittal Number: CA-14-001
State: California
Summary: This amendment provides for supplemental payments, funded by a quality assurance fee, for private hospital inpatient service for the service period of January 1, 2014 to December 31, 2016.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: CA-14-0027
State: California
Summary: State Methodology on Cost-Effectiveness of Individuals and Group Health Plans.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: CA-14-019
State: California
Summary: This amendment changes the interval for the cost report data periods for intermediate Care Facilities for the Developmentally Disabled (including Habilitative and Nursing), under state plan authority effective August 1, 2014.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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