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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 241 to 250 of 474 results
Transmittal Number: NJ-05-09
State: New Jersey
Summary: To expand care management organization services to include Hunterdon, Somerset and Warren Counties.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
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Transmittal Number: FL-16-028
State: Florida
Summary: Adjusts reimbursement for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: FL-16-021
State: Florida
Summary: Adjusts reimbursement for Nursing Facilities.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: FL-17-0001
State: Florida
Summary: Updates the names of the Agency for Health Care Administration's (AHCA's) organizational structure and the fair hearings.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: FL-16-027
State: Florida
Summary: Purpose to update reimbursement rates for county health departments (CHD) and includes technical and editorial changes, deletes obsolete language, and provides CHDs to buy-back any rate reduction not to exceed cost.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: FL-16-015
State: Florida
Summary: Medical School Faculty Reimbursement Methodology.
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: FL-16-034
State: Florida
Summary: Purpose of making technical and editorial changes and delete obsolete language to the Title XIX Outpatient Hospital Reimbursement Plan effective July 1, 2016.
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Transmittal Number: NJ-16-0008
State: New Jersey
Summary: This amendment proposes to increase Graduate Medical Education (GME) payments authorizedin the state's 1115 Comprehensive Waiver from $127 million to $188 million.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: FL-16-025
State: Florida
Summary: This amendment includes technical and editorial changes, deletes obsolete language, and updates the fee schedule.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: NJ-16-0007
State: New Jersey
Summary: Extends and implements revisions to the Charity Care program for the state FY 2017.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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