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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 51 to 60 of 596 results
Transmittal Number: ND-23-0034
State: North Dakota
Summary: This Amendment changes to the income disregards and financial methodologies applied to certain medically needy groups.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: MO-23-0023
State: Missouri
Summary: The SPA allows doctoral level psychology interns under the supervision of a licensed psychologist to provide services for MO HealthNet participants.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-23-0029
State: North Dakota
Summary: This amendment amends the State Plan to add coverage of adult vaccines and to update vaccines rates quarterly.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MO-23-0033
State: Missouri
Summary: Annual assurance of the pharmacy program's adherence to the FULs requirement of federal regulation regarding expenditures for multiple source drugs.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Prescribed Drugs
Links:
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Transmittal Number: MO-23-0031
State: Missouri
Summary: This State Plan Amendment is adding back language related to final DSH redistributions and adding language regarding final DSH redistributions and unspent allotment payments to bankrupt-liquidation and closed hospitals.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-23-0032
State: North Dakota
Summary: This SPA amends the State Plan to add coverage of select weight loss medications.
Approval Date:
Effective Date:
Topics:
  • Prescribed Drugs
  • Prescription Drugs
  • Coverage
  • Weight Loss Drugs
  • Obesity Drugs
Links:
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Transmittal Number: ND-23-0027
State: North Dakota
Summary: With this amendment the state is making the following updates: remove annual service limits and revise provider qualifications for care coordination, benefits planning, housing supports, revocational training, supported employment, and supported education.
Approval Date:
Effective Date:
Topics:
  • Home and community based services
Links:
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Transmittal Number: ND-23-0026
State: North Dakota
Summary: in which the state increases the income eligibility level for pregnant individuals and provide coverage to lawfully residing pregnant individuals.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: ND-23-0028
State: North Dakota
Summary: This state plan amendment will supersede SPA ND-23-0020 and updates reimbursement for in-state PPS outpatient hospital services to the Enhanced Ambulatory Patient Group (EAPG) payment system.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MO-23-0030
State: Missouri
Summary: State made changes to several to the income and resource disregards applied in the eligibility determinations for the optional Ticket to Work and Work Incentives Improvement Act (WEEIAA) eligibility group.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT