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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 91 to 100 of 406 results
Transmittal Number: FL-21-0006
State: Florida
Summary: Establishes a new level of reimbursement for Medicaid-eligible individuals who have severe behavioral needs residing in or seeking admission to Intermediate Care Facilities for Individuals with Developmental Disabilities (ICFs/IID), updates buy-back provisions for ICFs as authorized in the State’s Fiscal Year 2021-22 General Appropriations Act, and makes technical / editorial changes.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: FL-21-0009
State: Florida
Summary: Updates the Physician Supplemental Payment Methodology to align with changes from the General Appropriations Act.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DC-21-0016
State: District of Columbia
Summary: Physician Supplemental Payment
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: FL-21-0005
State: Florida
Summary: Outpatient Hospital Reimbursement
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: FL-21-0007
State: Florida
Summary: Updates the Florida Title XIX County Health Department Reimbursement Plan.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: DC-21-0017
State: District of Columbia
Summary: Managed Care/Children and Adolescents for Supplemental Security Income Program (CASSIP)
Approval Date:
Effective Date:
Topics:
  • Supplemental Rebates and Managed Care
Links:
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Transmittal Number: DC-21-0013
State: District of Columbia
Summary: increases the Home Health Therapies rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DC-21-0005
State: District of Columbia
Summary: Outpatient Hospital Supplement Payment Fiscal Year 2021
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DC-21-0009
State: District of Columbia
Summary: This amendment proposes to permit the District to enroll additional licensed providers (psychologists, licensed independent clinical social workers, licensed professional counselors and licensed marriage and family therapists) to service the District’s Behavioral Health population.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: FL-21-0003
State: Florida
Summary: update the reimbursement methodology for PACE. This SPA is also relocating the Medication Assisted Treatment pages from Supplement 3 to Attachment 3.1-A to Supplement 6 to Attachment 3.1-A.
Approval Date:
Effective Date:
Topics:
Links:
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