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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 241 to 250 of 695 results
Transmittal Number: CA-20-0041
State: California
Summary: continue the Census Bureau wages exclusion
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CA-20-0045
State: California
Summary: Increase the Blind Federal Poverty Level (FPL) and the Aged and Disabled FPL program income limits by increasing the income disregard to all countable income above the Supplemental Security Income/State Supplementary Payment (SSI/SSP) standard 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: AK-20-0006
State: Alaska
Summary: Proposes to add chore services to the 1915(k) Community First Choice (CFC) state plan benefit
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: CA-20-0022
State: California
Summary: Implements an income disregard to make all wages paid to an individual by the U.S. Census Bureau for temporary employment related to current or future Census activities to be exempt for Non-Modified Adjusted Gross Income (non-MAGI) Medi-Cal programs.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CA-20-0035
State: California
Summary: Allow NPs, CNS’s, and PA’s to order home health services, including durable medical equipment and medical supplies, within their scope of practice.
Approval Date:
Effective Date:
Topics:
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Transmittal Number: CA-20-0003
State: California
Summary: adjusts the Medi-Cal Fee-for-Service (FFS) outpatient provider rates for Clinical Laboratory Services to no more than 80 percent  

 of the lowest maximum allowance established by the federal Medicare program for the same or similar service
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: CA-20-0037
State: California
Summary: This SPA updates the third-party liability section of the state plan to use standard coordination of benefits cost avoidance when processing claims for prenatal services.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: CA-19-0048
State: California
Summary: authorizes a time-limited payment for trauma screenings using Proposition 56 funds
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CA-19-0041
State: California
Summary: authorizes a time-limited payment to developmental screenings for children up to 30 months of age when rendered in Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and Indian Services Memorandum of Agreement 638 (HIS-MOA) clinics using Proposition 56 funds
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CA-16-0001
State: California
Summary: Targeted Case Management Services for All Medicaid Eligible Children
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT