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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 281 to 290 of 451 results
Transmittal Number: DC-16-007
State: District of Columbia
Summary: Modifies the State's standards and methods for setting intermediate care facility payment rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: DC-16-006
State: District of Columbia
Summary: Modifies the State's methods and standards for setting nursing facility payment rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: MO-16-014
State: Missouri
Summary: This amendment proposes to provide annual assurance of the pharmacy program adherence to the requirements of the Federal Upper Limits (FUL) federal regulation for the time period October 1, 2014 through September 30, 2015.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: DC-16-005
State: District of Columbia
Summary: Outpatient Hospital Supplemental Payment.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: MO-16-04
State: Missouri
Summary: Adds asthma education and assessments to the state plan.
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Effective Date:
Topics:
  • Benefits
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Transmittal Number: MO-16-09
State: Missouri
Summary: Amends the provisions governing clinic services to clairfy which providers are allowed to provide Community Mental Health Center services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: DC-16-004
State: District of Columbia
Summary: Dental Services.
Approval Date:
Effective Date:
Topics:
  • Dental
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Transmittal Number: MO-16-05
State: Missouri
Summary: Exception to the Medicaid Recovery Audit Contractor (RAC) Program in accordance with Section 42 CFR 455.516.
Approval Date:
Effective Date:
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Transmittal Number: DC-15-007
State: District of Columbia
Summary: Allows DC the authority to provide personal care services under the state plan for medical assistance.
Approval Date:
Effective Date:
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Transmittal Number: MO-16-10 T
State: Missouri
Summary: This amendment continues a per diem increase of $2.09 for nursing facility and HIV nursing facility services that was due to expire on June 30, 2016. This SPA also provides for an addition per diem increase of $2.83 for these services beginning July 1, 2016.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT