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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.

Results

Displaying 3481 - 3490 of 15777

California
Disproportionate Share Hospital (DSH) Medicaid Shortfall Adjustments due to CAA 2021 and Other Technical Adjustments
Approval Date: June 28, 2022
Effective Date: June 30, 2022
Topics: Program Administration

Colorado
increases the rate for pediatric personal care services.
Approval Date: June 28, 2022
Effective Date: January 1, 2022

Louisiana
Amends provisions governing reimbursement for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in order to establish an alternative payment methodology which would allow reimbursement outside of the
current Prospective Payment System rate for community health worker services provided in FQHCs and RHCs.
Approval Date: June 28, 2022
Effective Date: January 1, 2022

Massachusetts
amends rate year ((RY) 2022 updates to reimbursement methods and standards for privately-owned psychiatric hospitals, and administrative updates only for substance abuse treatment hospitals.
Approval Date: June 28, 2022
Effective Date: October 1, 2021

Oklahoma
Eliminates community based extended and community based transitional level of care.
Approval Date: June 28, 2022
Effective Date: September 1, 2022

North Dakota
Updates the supplemental payment methodology for Critical Access Hospitals (CAHs).
Approval Date: June 28, 2022
Effective Date: October 1, 2021

Illinois
Approved the State’s request to amend its State Plan to add a new 1915 Home and Community Based Services (HCBS) benefit. As part of the SPA, Illinois revised its 3.1-F pages, which authorizes Managed Care under 1932(a) to include the new 1915 program.
Approval Date: June 27, 2022
Effective Date: July 1, 2022

Minnesota
This amendment addresses third party liability and related Medicaid payments regarding medical support, prenatal care and pediatric services, described in attachment 4.22-B of Minnesota’s Medicaid State Plan.
Approval Date: June 27, 2022
Effective Date: June 1, 2022

New York
provides a temporary rate increase of 11.5 percent through New York's American Rescue Plan Act of 2021 for Outpatient Mental Health (OMH) Rehabilitative Services for workforce recruitment and retention activities.
Approval Date: June 27, 2022
Effective Date: February 1, 2022

Ohio
To align Ohio’s Alternative Benefit Plan with the Medicaid State Plan by adding language for coverage of inpatient hospital treatment of chemical dependency and intensive home-based treatment, which is a component of the OhioRISE program, under the early and periodic screening, diagnosis, and treatment benefit for individuals under age 21.
Approval Date: June 27, 2022
Effective Date: March 1, 2022
Topics: Alternative Benefit Plan