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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 231 to 240 of 527 results
Transmittal Number: UT-17-0011
State: Utah
Summary: Updates the effective date of eyeglasses services to July 1, 2017.
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Transmittal Number: UT-17-0005
State: Utah
Summary: Updates the effective date of rates for home health services to July 1, 2017.
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  • Program Administration
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Transmittal Number: UT-17-0006
State: Utah
Summary: Updates the effective date of rates for physician and anesthesia services to July 1, 2017.
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Transmittal Number: UT-17-0007
State: Utah
Summary: Updates the effective date of optometry rates to July 1, 2017.
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Transmittal Number: UT-17-0008
State: Utah
Summary: Updates the effective date of speech pathology rates to July 1, 2017.
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Transmittal Number: UT-17-0009
State: Utah
Summary: Updates the effective date of audiology rates to July 1, 2017.
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Transmittal Number: UT-17-0004
State: Utah
Summary: Updates the utilization trend for the outpatient hospital upper payment limit in State Fiscal Year 2018.
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  • Financing & Reimbursement
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Transmittal Number: UT-17-0003
State: Utah
Summary: This State Plan Amendment clarifies that Utah Medicaid will treat estranged spouses as individual households even when filing a joint tax return.
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  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: IN-17-003
State: Indiana
Summary: Removes the twelve week coverage limitation for tobacco cessation services and adds optometrists, clinical social workers, marital and family counselors, mental health counselors, and licensed clinical addiction counselors to the practitioners who may provide tobacco dependence counseling services.
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  • Benefits
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Transmittal Number: UT-17-0002
State: Utah
Summary: Revise's Utah pharmacy reimbursement methodology to comply with the key provisions of the Covered Outpatient Drug Final Rule with Comment( 81 FR 5170) that was published in the Federal Register on February 1, 2016.
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  • Prescription Drugs
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