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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 371 to 380 of 451 results
Transmittal Number: MO-12-10
State: Missouri
Summary: This amendment provides the State Fiscal Year (SFY) 2013 trend factor.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: MO-13-01
State: Missouri
Summary: This amendment provides for additional reimbursement to nursing facilities participating in the Invasive Ventilator Program for services provided to ventilator dependent MO HealthNet participants beginning on and after January 1, 2013.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: DC-13-03
State: District of Columbia
Summary: Medicaid Pediatric Palliative Care. Medicaid Case Management.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: DC-13-004
State: District of Columbia
Summary: Medicaid reimbursement for eligible Primary Care Physicians (PCP) services payment.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: MO-12-09
State: Missouri
Summary: This amendment includes changes to: indicate the basis of the state DSH survey used for interim DSH payments for SFY 2013 and subsequent years; ensure that interim DSH payments made to federally deemed DSH hospitals and new hospitals do not exceed their estimated hospital-specific DSH limits; and allow Department of Mental Health (DMH) hospitals to adjust interim DSH payments based on the results of a DMH state DSH survey.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: MO-12-20
State: Missouri
Summary: Implements Medication Therapy Management services provided by qualified, licensed pharmacists.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: DC-13-001
State: District of Columbia
Summary: Authorizes a one-time lump sum, supplemental payment for physician and specialty services.
Approval Date:
Effective Date:
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Transmittal Number: MO-12-18
State: Missouri
Summary: Adds language to increase payments to certain physician specialties for primary care evaluation and management (E/M) healthcare common procedure coding system (HCPCS) codes as required by Section 1202 of the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DC-13-02
State: District of Columbia
Summary: This SPA allows the District to establish programs to contract with one or more Medicaid RACs, in accordance with Section 6411 of the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: MO-12-23
State: Missouri
Summary: Provides annual assurance of the pharmacy program adherence to the requirement of federal regulation regarding expenditures for multiple source drugs.
Approval Date:
Effective Date:
Topics:
Links:
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