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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 843 results
Transmittal Number: NC-23-0048
State: North Carolina
Summary: This amendment increases the personal needs allowance for individual Medicaid recipients institutionalized from $30 to $70 and from $60 to $140 for married couples.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Inpatient
Links:
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Transmittal Number: NC-23-0049
State: North Carolina
Summary: This SPA authorizes increased FFP for newly-eligible individuals receiving postpartum coverage and further includes the addition of Attachment D, which describes the special circumstances and other proxy adjustments that are applied to account for the proportion of individuals covered under the extended postpartum coverage option who would otherwise be eligible for coverage in the adult group and for the newly eligible FFP under section 1905(y) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Federal Financial Participation
Links:
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Transmittal Number: MA-23-0065
State: Massachusetts
Summary: This amendment proposes to establish coverage and payment methods for doula services.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
  • Preventative Services
Links:
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Transmittal Number: NC-23-0038
State: North Carolina
Summary: This amendment adds a tribal consultation process for Indian Health Services Facilities and Urban Indian Organizations.
Approval Date:
Effective Date:
Topics:
  • Indian Health Services
  • Tribal/Indian Health Issues
  • Program Administration
Links:
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Transmittal Number: NC-23-0044
State: North Carolina
Summary: This amendment proposes to add Early and Periodic Screening Diagnostic and Treatment (EPSDT) language to the Private Duty Nursing (PDN) page.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Benefits
Links:
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Transmittal Number: NC-23-0040
State: North Carolina
Summary: This plan amendment updates the Opioid Treatment Program (OTP).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NC-23-0025
State: North Carolina
Summary: This plan amendment updates the Personal Care Services (PCS).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MA-23-0053
State: Massachusetts
Summary: The Supplemental Payment to Further Support Acute Hospital Financial Stability and Prevent Possible Impacts to Acute Hospital Service Provision and Access will provide further support to hospitals that are at risk of closure or reduction of services due to financial needs.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MA-23-0057
State: Massachusetts
Summary: This plan amendment updates the methods and standards used to determine the rates of payment for supplemental payments for non-public ambulance providers.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MA-23-0009
State: Massachusetts
Summary: This amendment is to update the Standard Alternative Benefit Plan (ABP) to add and update certain behavioral health services.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
  • Home Health
  • Prior Authorization
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT