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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 21 to 30 of 523 results
Transmittal Number: MI-24-0013
State: Michigan
Summary: This plan amendment updates the authority to set a principal balance minimum payment amount for nursing facilities for any loan issued after October 1, 2019, that has a loan period greater than four years.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MI-24-1003
State: Michigan
Summary: This amendment provides authority to cover targeted case management services for recuperative care.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
  • Targeted Case Management
Links:
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Transmittal Number: MI-24-0012
State: Michigan
Summary: This plan amendment provides authority to assess a late-file penalty to nursing facilities who do not submit a complete and acceptable cost report within the timeframes established by MDHHS.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MI-24-1002
State: Michigan
Summary: Expands the list of applicable diagnoses to reflect the SUD-Health Home in conjunction with the related traditional SPA (MI 24-1501).
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: MI-24-0016
State: Michigan
Summary: Removes language related to the Paternity Confinement Expenses to align with elimination.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MI-24-0010
State: Michigan
Summary: This plan amendment continues the rate increase for Incontinence Volume Purchase Contract and non-sterile gloves.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MI-24-0004
State: Michigan
Summary: Provides authority to cover targeted case management services for Children’s Special Health Care Services (CSHCS) beneficiaries under 21 years of age with qualifying medical complexity.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
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Transmittal Number: MI-24-0006
State: Michigan
Summary: Covers targeted case management for children, youth, and young adults ages 0-21 with either a serious mental illness (SMI), serious emotional disturbance (SED), or intellectual/developmental disability (I/DD), and their families.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
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Transmittal Number: MI-24-0007
State: Michigan
Summary: Provides authority to move parent support partner services to EPSDT from the behavioral health 1915.
Approval Date:
Effective Date:
Topics:
  • Long-Term Services & Support
Links:
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Transmittal Number: MI-24-0015
State: Michigan
Summary: This plan amendment updates COVID Administration rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT