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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 131 to 140 of 634 results
Transmittal Number: ND-22-0001
State: North Dakota
Summary: Amends the State Plan to implement an inflationary increase for Psychiatric Residential Facility Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: ND-22-0003
State: North Dakota
Summary: The purpose of this amendment is to amend the State Plan to assure coverage of items and services furnished in connection with a qualified clinical trial.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: ND-21-0023
State: North Dakota
Summary: This SPA amends the State Plan to update service limits to comply with Mental Health Parity and essential health benefits.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-20-0026
State: North Dakota
Summary: This SPA amends to add coverage and reimbursement for Medication Assisted Treatment Services.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: ND-21-0024
State: North Dakota
Summary: Update the PCCM program to allow individuals to change their PCP without cause, and mandates enrollment for 19 and 20-year-old individuals who are eligible under Medicaid expansion.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-21-0015
State: Utah
Summary: This SPA added pharmacists under other licensed practitioners since the state's scope of practice was expanded to allow pharmacist to prescribe certain drugs of devices with their scope of training and experience.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
Links:
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Transmittal Number: ND-21-0021
State: North Dakota
Summary: Updates to Third Party Liability activities to comply with

federal regulations.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: UT-21-0014
State: Utah
Summary: assures the State complies with the federal medical transpo1iation requirements added by the Consolidated Appropriations Act, 2021.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: UT-21-0016
State: Utah
Summary: Provides assurances that the State is in compliance with federal regulations regarding third party liability.
Approval Date:
Effective Date:
Topics:
  • Third Party Liability
Links:
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Transmittal Number: ND-21-0015
State: North Dakota
Summary: With this amendment, the state will:


lower the WHODAS assessment eligibility score requirement from 50 to 25 to increase the number of potential participants,
permit the use of medical records as an additional verification option for completing program eligibility forms,
increase rates for Training and Support for Unpaid Caregivers and Community Transition services, and
reduce provider qualifications for services to expand the provider pool in the state.

Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT