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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 161 to 170 of 435 results
Transmittal Number: NC-19-0003
State: North Carolina
Summary: Removing lab service payments for Local Health Departments.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NC-19-004
State: North Carolina
Summary: Migrates North Carolina Health Homes Services to terminate services offered in NC 11-050 Health Home Services which will be included in the approved NC Managed Care 1115 waiver.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: NC-18-012
State: North Carolina
Summary: Increasing the reimbursement rate for Evaluation and Management codes.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
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Transmittal Number: NC-18-0011
State: North Carolina
Summary: Increases the reimbursement rate for procedure code T2003, Non-Emergency Medical Transportation
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NC-18-011
State: North Carolina
Summary: Increasing the reimbursement rate for procedure code T2003, Non-Emergency medical transportation.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
Links:
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Transmittal Number: NC-18-0010
State: North Carolina
Summary: Allows Medicaid to increase the rates for Dental codes by 10%.
Approval Date:
Effective Date:
Topics:
  • Dental
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Transmittal Number: NC-18-0006
State: North Carolina
Summary: Lead Investigation services for Medicaid coverage and increases the state maximum allowable cost for lead investigations.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NC-18-0008
State: North Carolina
Summary: Freestanding Birth Centers.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: NC-18-0005
State: North Carolina
Summary: Expands the documentation options for Local Education Agencies (LEAs) to receive Medicaid reimbursement for nursing, counseling, occupational therapy, speech language therapy and physical therapy services. Also adds vision screening services and clarifies the definition of hearing services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NC-18-0009
State: North Carolina
Summary: Reimburse adult optical services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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