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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 271 to 280 of 489 results
Transmittal Number: UT-15-0023
State: Utah
Summary: Updates the effective date of rates for physician services to November 1, 2015, to revert to levels of reimbursement in effect on June 30, 2015.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: UT-16-0008
State: Utah
Summary: Updates the hospice program to include the service intensity add-on payment as an available reimbursement in addition to the existing payment already outlined in the State Plan.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-16-0010
State: Utah
Summary: This Amendment only addresses the effective date of new FULs finalized in the Covered Outpatient Drug Rule.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: DC-16-0001
State: District of Columbia
Summary: Non-Financial Eligibility-State Residency for Title IV-E Foster Care children. Lays out the residency authority for enrolling new and maintaining existing Title IV-E Foster Care children.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-16-0009
State: Utah
Summary: Updates methodology for supplemental disproportionate share hospital payments.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: UT-16-0006
State: Utah
Summary: Removes obsolete provisions for retroactive cost settlement in both San Juan County and Wasatch County.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: UT-16-0002-MM
State: Utah
Summary: Adds Former Foster Care Youth: Adds eligibility for individuals who were in foster care from states.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: DC-14-012
State: District of Columbia
Summary: Establishes a lower level of reimbursement for short term services provided in psychiatric hospital for individuals under the age of 21.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: UT-15-0013
State: Utah
Summary: Updates the effective date of rates for clinic services to July 1, 2015.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: DC-15-011
State: District of Columbia
Summary: This amendment will permanently extend existing provider increases for certain primary care services provided by qualified physicians. In addition, this SPA would extend the rate increase for the same services when provided by psychiatrists, obstetricians/gynecologists, and advanced practice registered nurses.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT