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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 271 to 280 of 525 results
Transmittal Number: MI-17-1001
State: Michigan
Summary: Removal of 20-Behvaioral Health Visit Limit.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: GA-17-015
State: Georgia
Summary: This SPA adds coverage of Autism Spectrum Disorder (ASD) services, and enrollment and reimbursement of Board Certified Behavior Analysts for providing ASD services.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Financing & Reimbursement
Links:
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Transmittal Number: MI-17-1000
State: Michigan
Summary: Enrollment of Other Providers.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: MI-17-0008
State: Michigan
Summary: Reduces the Quality Assurance Supplement (QAS) percentage for the months of August and September 2017.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: GA-17-008
State: Georgia
Summary: This SPA will increase certain medical service codes to 100% of the Calendar Year 2014 Medicare fee schedule for attested primary care physicians and physician extenders. This SPA was approved December 4, 2017.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: GA-17-010
State: Georgia
Summary: This amendment proposes to modify the state's reimbursement methodology.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: GA-17-009
State: Georgia
Summary: Effective for deliveries occurring on and after July 1, 2017, an additional payment per newborn delivery will increase by $500 for hospitals in rural counties with populations less than 35,000.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MI-17-0004
State: Michigan
Summary: This state plan amendment modifies the Graduate Medical Education (GME) Innovations Program to include a sponsoring institution program, Authority Health.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: GA-17-0001
State: Georgia
Summary: This SPA proposes to bring Georgia into compliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment period (CMS-2345-FC).
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: MI-17-0010
State: Michigan
Summary: Guardianship Fee Update.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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