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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 171 to 180 of 592 results
Transmittal Number: UT-20-0012
State: Utah
Summary: This SPA allows a bundled payment methodology for rehabilitative mental health services when provided in crisis receiving centers.  It also clarifies the purpose of rehabilitative mental health services including psychiatric diagnostic evaluation as for the direct benefit of the beneficiary.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
Links:
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Transmittal Number: AZ-20-0020
State: Arizona
Summary: This amendment proposes to update the rates for vaccine administration
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: AZ-19-0009
State: Arizona
Summary: Updates the amounts of Arizona's graduate medical education and indirect medical education payment pools and the qualifying hospital list for each payment pool for the fiscal period ending June 30, 2020
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Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: UT-20-0011
State: Utah
Summary: Adjusts the Outpatient Prospective Payment System (OPPS) payments.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: AZ-20-0013
State: Arizona
Summary: Proposes inpatient hospital and outpatient hospital differential adjusted payments to facilities owned or operated by the Indian Health Services (IHS) or tribes under PL 93-638
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Effective Date:
Topics:
  • Indian Health Services
Links:
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Transmittal Number: AZ-20-0025
State: Arizona
Summary: updates Outpatient Hospital rates
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Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AZ-20-0030
State: Arizona
Summary: This plan amendment updates the Arizona Outpatient Differential Adjusted Payment (DAP) Program.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: AZ-20-0014
State: Arizona
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to clarify the bed hold policy language approved in an earlier state plan amendment.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
Links:
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Transmittal Number: AZ-20-0011
State: Arizona
Summary: Proposes to reimburse nursing facility services furnished by facilities owned or operated by the Indian Health Services (IHS)
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Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: UT-20-0010
State: Utah
Summary: Reimbursement update for Outpatient Hospital Supplemental Payments
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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