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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 81 to 90 of 558 results
Transmittal Number: MO-22-0015
State: Missouri
Summary: This amendment is to update Missouri’s single streamlined MO HealthNet application used for all Medicaid and CHIP programs.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: MO-22-0025
State: Missouri
Summary: This Medicaid State Plan Amendment (SPA) provides for the transformation of MO HealthNet nursing facility reimbursement rates by establishing a new reimbursement methodology.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: UT-23-0001
State: Utah
Summary: This amendment clarifies supplemental payments referenced in Utah’s American Rescue Plan Act (ARPA) Home and Community Based Services (HCBS) Enhanced Funding Spending plan.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Home and community based services
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MO-23-0001
State: Missouri
Summary: This SPA adds a value-based supplemental payment for Home and Community Based Personal Care Providers. Based upon the information provided by the State, we have approved the amendment with an effective date of February 1, 2023.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MO-22-0022
State: Missouri
Summary: The purpose of this SPA is to assure coverage of COVID-19 treatment, including specialized equipment and therapies (including preventive therapies).
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MO-22-0038
State: Missouri
Summary: This SPA updates the effective date for the addition of a new CCBHO provider.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MO-23-0002
State: Missouri
Summary: This amendment allows MO HealthNet to consider participants eligible for, but not enrolled in, a managed care plan for

the Health Insurance Premium Payment (HIPP) program, and determine whether enrolling such participants in HIPP would be cost effective.
Approval Date:
Effective Date:
Topics:
  • Third Party Liability
Links:
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Transmittal Number: MO-23-0003
State: Missouri
Summary: This amendment adds coverage of biopsychosocial treatment of obesity services provided by licensed registered

dieticians in federally qualified health centers and rural health clinics. 
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: MO-22-0004
State: Missouri
Summary: This State Plan Amendment updates the inpatient hospital reimbursement methodology, and deletes or clarifies outdated language.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: UT-23-0003
State: Utah
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to waive signatures for dispensing of drugs during the public health emergency with exceptions of controlled schedule 2 (CII) prescriptions.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT