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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 31 to 40 of 596 results
Transmittal Number: MO-24-0011
State: Missouri
Summary: This state plan amendment updates the MO Healthnet fee schedule to add reimbursement for manual and electric breast pumps.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ND-24-0008
State: North Dakota
Summary: This plan amendment proposes to reimburse other licensed practitioners at 100% of the Medicaid fee schedule and implement an increase of three percent for services rendered by Medicaid Providers.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MO-24-0013
State: Missouri
Summary: This SPA changes the MO HealthNet Dental Program to allow eligible MO HealthNet participants aged 21 and older to receive periodic oral evaluations. The SPA also allows MO HealthNet-enrolled dental providers to provide and receive reimbursement for the evaluations rendered.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: ND-24-0010
State: North Dakota
Summary: This plan amendment proposes an increase of three percent for Rural Health Clinic Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MO-24-0009
State: Missouri
Summary: This SPA adds coverage of prescribed drugs that are not covered outpatient drugs in cases of a drug shortage.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Prescribed Drugs
Links:
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Transmittal Number: ND-24-0013
State: North Dakota
Summary: This plan amendment proposes an increase of three percent for 1915(i) Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ND-24-0007
State: North Dakota
Summary: This Amendment increases the income standard for its Optional Targeted Low-Income Children eligibility group.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: MO-24-0007
State: Missouri
Summary: This SPA adds coverage of developmental disabilities health homes services to the Alternative Benefit Plan.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: MO-24-0005
State: Missouri
Summary: This Amendment implements a Developmental Disabilities Health Home (DD Health Home) for individuals statewide served through the Missouri Department of Mental Health, Division of Developmental Disabilities (DD), who have a qualifying chronic health condition, have or are at risk of developing another condition, and are eligible for Division of DD services.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: ND-24-0002
State: North Dakota
Summary: Effective for dates of services on or after January 1, 2024, this amendment implements a nursing facility (NF) incentive program for instate nursing facilities.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT