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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 406 results
Transmittal Number: FL-20-0008
State: Florida
Summary: Effective July 1, 2020, this amendment updates language regarding County Health Department Reimbursement for services outlined within the State Plan. 
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: FL-20-0001
State: Florida
Summary: Applies an income disregard for the eligibility determination process for individuals with disabilities with earned income through paid employment.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: FL-19-0015
State: Florida
Summary: Allows the state to comply with the Medicaid Drug Utilization Review (DUR) provisions included in Section 1004 of the Substance Use-Disorder Prevention that promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act
Approval Date:
Effective Date:
Topics:
Links:
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Transmittal Number: DC-19-0011
State: District of Columbia
Summary: Allows the state to comply with the Medicaid Drug Utilization Review (DUR)

provisions included in Section 1004 of the Substance Use-Disorder Prevention that promotes Opioid

Recovery and Treatment (SUPPORT) for Patients and Communities Act (P.L. 115-271).
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: DC-19-008
State: District of Columbia
Summary: Updates the District's hospice care reimbursement methodology to align with federal requirements and enable the District to improve monitoring and oversight of the delivery of hospice services
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DC-19-0007
State: District of Columbia
Summary: Renews the District of Columbia’s 1915(i) State Plan HCBS benefit
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Current State Plan
Links:
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Transmittal Number: FL-19-0004
State: Florida
Summary: This amendment includes the Private and Charter School Reimbursement Methodology for services outlined within the State Plan. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DC-19-0009
State: District of Columbia
Summary: Pharmacist Administration Services
Approval Date:
Effective Date:
Topics:
Links:
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Transmittal Number: DC-19-005
State: District of Columbia
Summary: This amendment will authorize the District to implement a PACE program, effective February 1, 2020 
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: DC-19-0010
State: District of Columbia
Summary: Permits the District of Columbia Medicaid program to increase reimbursement rates for physical therapy, occupational therapy, and speech therapy services provided by home health agencies effective October 1, 2019
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT