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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.

Results

Displaying 661 - 670 of 15690

Louisiana

This plan amendment updates the provisions governing qualifying criteria and reimbursement methodology for high Medicaid utilization academic hospitals in order to increase payments for inpatient hospital services.

Approval Date: September 16, 2024
Effective Date: July 1, 2024

Michigan

This plan amendment updates COVID Administration rates.

Approval Date: September 16, 2024
Effective Date: October 1, 2024

Massachusetts

This plan amendment establishes a supplemental payment for Mental Health Centers.

Approval Date: September 16, 2024
Effective Date: June 19, 2024

Oregon

This Amendment updates the state plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.

Approval Date: September 16, 2024
Effective Date: December 1, 2024
Topics: Medicaid and CHIP Program (MACPro)

Oklahoma

This Amendment updates the state plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.

Approval Date: September 16, 2024
Effective Date: October 1, 2024
Topics: Medicaid and CHIP Program (MACPro)

New Mexico

This amendment adds chiropractic services and establishes a Medicaid reimbursement methodology.

Approval Date: September 16, 2024
Effective Date: October 1, 2024
Topics: Coverage and Reimbursement

New Hampshire

This amendment is being submitted to New Hampshire’s Alternative Benefit State Plan to demonstrate and ensure that community-based mobile crisis intervention services are provided to New Hampshire Medicaid beneficiaries as outlined in Section 9813 of the American Rescue Plan of 2021.

Approval Date: September 16, 2024
Effective Date: April 1, 2024
Topics: Alternative Benefit Plan Benefits

Rhode Island

This amendment proposes to update Rhode Island’s Medicaid State Plan to include chiropractic services and establish a payment methodology within fee-for-service Medicaid.

Approval Date: September 16, 2024
Effective Date: July 1, 2024
Topics: Coverage Home Health Medical Supplies & Devices Reimbursement

Kentucky

Creates a new specialty Rural Emergency Hospital under clinic services.

Approval Date: September 16, 2024
Effective Date: April 1, 2024

Michigan

Recognizes the shift to require managed care plans to cover transportation to all Medicaid-covered services, clarifies coverage
language, and reflects other technical adjustments.

Approval Date: September 16, 2024
Effective Date: October 1, 2024