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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 151 to 160 of 446 results
Transmittal Number: AK-19-0003
State: Alaska
Summary: Brings the state into compliance with the 21st Century Cures Act regarding the limit on federal financial participation for durable medical equipment prosthetics orthotics and supplies in Medicaid.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Health Services Initiatives
  • Program Administration
Links:
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Transmittal Number: AK-19-0001
State: Alaska
Summary: Updates reimbursement methodology and rates for ESRD Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: UT-19-0001
State: Utah
Summary: Reimbursement update for Mandatory Eligibility Groups.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: UT-18-0009
State: Utah
Summary: This will provide for reimbursement for long-acting reversible contraceptives (LARCs) inserted immediately after childbirth and prior to discharge from the hospital.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: UT-18-0010
State: Utah
Summary: Reimbursement update for Rehabilitative Mental Health and Substance Use Disorder Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: AK-18-0004
State: Alaska
Summary: New facility prospective payment rate methodology for inpatient hospital .
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: UT-18-0008
State: Utah
Summary: Bases pediatric dental fees for service supplemental.
Approval Date:
Effective Date:
Topics:
  • Dental
Links:
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Transmittal Number: UT-18-0004
State: Utah
Summary: Reimbursement update for Capital Improvement Incentive.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: UT-18-0003
State: Utah
Summary: This SPA updates the inflation and utilization trend for the required outpatient hospital upper payment limit (UPL) demonstration as well as updates the language for the private hospital supplemental payments.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: UT-18-0005
State: Utah
Summary: This updates the methodology for the State Teaching Hospital payment.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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