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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 281 to 290 of 460 results
Transmittal Number: OR-17-0001
State: Oregon
Summary: This SPA disregards unearned shelter-in-kind as income when determining financial eligibility for Medicaid programs administered by the Oregon Department of Human Services, Division of Aging and People with Disabilities.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OR-16-0012
State: Oregon
Summary: To expand the period of time available for Targeted Case Management (TCM) activities to include pregnancy.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: OR-10-01
State: Oregon
Summary: Revises the reimbursement methods for the Targeted Case Management program for Self Sufficiency.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: RI-16-001
State: Rhode Island
Summary: This SPA grants authority to implement a rate decrease and methodology change for CEDAR services. This SPA also implements revised quality metrics and oversight.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: RI-16-002
State: Rhode Island
Summary: This SPA grants authority to add CMHO Health Home services as an in-plan benefit for the Medicaid Managed care Organizations. The SPA further revises outcome measures and imposesa payment withhold.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OR-16-0010
State: Oregon
Summary: Removes copayments and updates the description of preventive services coverage as it was last dated in 2009.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
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Transmittal Number: RI-16-005
State: Rhode Island
Summary: This SPA grants authority to implement a rate increase for outpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: OR-16-0007
State: Oregon
Summary: This SPA renews Oregon's 1915(i) State Plan Home and Community-Based Services (HCBS) benefit for individuals with chronic mental illness.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: RI-15-010
State: Rhode Island
Summary: Out-patient hospital rate reduction.
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Transmittal Number: OR-16-0009
State: Oregon
Summary: Defines optometrists as "physicians" in the state of Oregon for Medicaid billing and services, which makes them eligible providers for the Electronic Health Record (EHR) Incentive Program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT