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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 1421 - 1430 of 15696

New York

Cost containment Zero-Trend

Approval Date: January 24, 2024
Effective Date: October 1, 2023

Louisiana

The purpose of this SPA is to amend the provisions governing payments for well baby and transplant services, within the inpatient hospital services program, in order to align with current practices.

Approval Date: January 24, 2024
Effective Date: October 1, 2023

South Dakota

This amendment covers adult vaccinations and their administration without cost sharing.

Approval Date: January 24, 2024
Effective Date: October 1, 2023

Arizona

This plan amendment updates the fee schedule rates for all AZ non-institutional services, other than Outpatient hospital services, paid via fee schedule.

Approval Date: January 23, 2024
Effective Date: October 1, 2023

Arizona

This plan amendment updates Emergency Medical Transport (EMT) rates.

Approval Date: January 23, 2024
Effective Date: October 1, 2023

Arizona

This plan amendment updates the fee schedule rates for outpatient hospital services.

Approval Date: January 23, 2024
Effective Date: October 1, 2023

Texas

This amendment is to update the State Plan to include Collaborative Care Model (CoCM) services, as directed by Senate Bill 672, 87^th^ Legislature, Regular Session, 2021.

Approval Date: January 23, 2024
Effective Date: June 1, 2022

North Dakota

This SPA amends the State Plan to add coverage of select weight loss medications.

Approval Date: January 23, 2024
Effective Date: October 1, 2023
Topics: Coverage Obesity Drugs Prescribed Drugs Prescription Drugs Weight Loss Drugs

Pennsylvania

Updates the description of Peer Support Services and revises the qualifications and licensing requirements for Certified Peer Specialists.

Approval Date: January 22, 2024
Effective Date: January 1, 2024

Virginia

Adds an assurance that the Department of Medical Assistance Services will make coverage and billing code modifications when the Advisory Committee on Immunization Practices (ACIP) and/or U.S. Preventive Services Task Force (USPSTF) “A” and “B” recommendations change. The amendment also makes a technical change to revise reference to section “4016” of the Patient Protection and Affordable Care Act to section “4106.”

Approval Date: January 22, 2024
Effective Date: October 1, 2023