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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 81 to 90 of 369 results
Transmittal Number: GA-21-0008
State: Georgia
Summary: This plan amendment adds a three percent increase to 15 select dental codes. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: GA-20-0010
State: Georgia
Summary: Effective August 14, 2020, this amendment creates a 1 percent rate increase for certain primary care codes. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: GA-20-0008
State: Georgia
Summary: Effective for services beginning January 1, 2021, this amendment adds Silver Fluoride Diamine (HCPCS Code D1354) as a covered service. 
Approval Date:
Effective Date:
Topics:
  • Dental
  • Coverage
  • Benefits
Links:
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Transmittal Number: GA-21-0004
State: Georgia
Summary: Effective July 1, 2021, this amendment revises the hospital auditing program to allow desk reviews/audits and focus reviews in lieu of on-site field audits. Current technology allows audits to be performed remotely instead of on-site or in-person.
Approval Date:
Effective Date:
Topics:
  • Program Integrity
Links:
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Transmittal Number: ID-20-0020
State: Idaho
Summary: Effective July 1, 2021 until June 30, 2026, this amendment renews Idaho's Children 1915(i) Benefit. 
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: GA-20-0009
State: Georgia
Summary: Effective August 14, 2020, this amendment increases the reimbursement for ventilator dependent nursing facility residents. Specifically, this amendment proposes to increase the nursing facility per diem for a ventilator dependent resident by 3%. The rate will increase from $540.55 to $556.77. 
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: GA-20-0011
State: Georgia
Summary: Effective August 14, 2020, this amendment implements a quality incentive for nursing homes that receive national quality award status or accreditation. 
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: GA-17-0014
State: Georgia
Summary: Effective July 1, 2017, this plan amendment updates the School Nurses Administrative Agreement for the Provision of Direct Nursing Services.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Coverage
  • Program Administration
Links:
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Transmittal Number: ID-21-0008
State: Idaho
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to implement flexibilities for the following: (1) Idaho's 1915 State Plan HCBS benefit for children with developmental disabilities; (2) Idaho's Basic ABP Children's Habilitation Intervention Services; and (3) Enhanced ABP Children's Habilitation Intervention Services.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
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Transmittal Number: GA-21-0002
State: Georgia
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to increase nursing home per diem to cover increase in cost due to public health emergency for the period 7/1/2020 – 6/30/2021.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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