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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 261 to 270 of 382 results
Transmittal Number: RI-15-012
State: Rhode Island
Summary: Eliminates the October 1, 2015 rate increases and implements a 2% rate cut for nursing facility services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DC-15-0010
State: District of Columbia
Summary: Childless Adult Above 133%.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: DC-15-008
State: District of Columbia
Summary: This amendment will enable the District to amend the methodology for establishing the penalty period for asset transfers by individuals receiving Medicaid-reimbursable intuitional care in nursing facilities.
Approval Date:
Effective Date:
Topics:
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Transmittal Number: RI-15-002
State: Rhode Island
Summary: This amendment revises reimbursement for inpatient hospital services. It specifies an All Patient Refined-Diagnosis Related Group (ARPDRG) Version 31 reimbursement system that the state has been paying under the 1115 waiver since July 1, 2010.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: RI-15-009
State: Rhode Island
Summary: This amendment revises the annual disproportionate share hospital (DSH) payments. Specifically, it updates the base year for determining uncompensated care cost from 2012 to 2014. It also revises the limits for certain DSH pools.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DC-15-0006
State: District of Columbia
Summary: This amendment will enable the District's Medicaid Program to clarify coverage limitations for providers delivering other laboratory and x-ray services.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: DC-14-006
State: District of Columbia
Summary: Nonpublic schools reimbursement methodology for School Based Health Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: DC-15-005
State: District of Columbia
Summary: Implements Health Homes as authorized under Section 2703 of the Patient Protection and Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: DC-14-009
State: District of Columbia
Summary: Payments to Outpatient Hospital for Medical Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: RI-15-006
State: Rhode Island
Summary: Grants authority to implement a rate reduction for incontinence supplies.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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