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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.

Results

Displaying 251 - 260 of 15693

Pennsylvania

This plan amendment authorizes the Department to make an additional payment to nonpublic and county nursing facilities that qualified for supplemental ventilator care and tracheostomy care payments.

Approval Date: January 6, 2025
Effective Date: October 1, 2024

Pennsylvania

This plan amendment authorizes the Department to make an supplemental payment to certain nonpublic nursing facilities in a county of the eighth class.

Approval Date: January 6, 2025
Effective Date: January 6, 2025

Pennsylvania

This plan amendment authorizes the Department to make a supplemental payment to certain county nursing facilities.

Approval Date: January 6, 2025
Effective Date: October 1, 2024

Iowa

This SPA provides Iowa with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.

Approval Date: January 6, 2025
Effective Date: January 1, 2025
Topics: Benefits Eligibility Medicaid and CHIP Program (MACPro)

Texas

The proposed amendment updates the Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program fee schedule, effective October 1, 2024.

Approval Date: January 6, 2025
Effective Date: October 1, 2024

Rhode Island

This amendment is for Health Home Services to comply with a federal State Health Official letter directing states to submit a State Plan Amendment attesting to compliance with the CMS mandatory annual state reporting for specified Core Set Measures for measuring and improving the quality of care delivered to Medicaid and CHIP beneficiaries.

Approval Date: January 6, 2025
Effective Date: October 1, 2024
Topics: Health Homes Medicaid and CHIP Program (MACPro) Program Administration

Maine

This amendment was submitted to remove electronic visit verification (EVV) for hospice services.

Approval Date: January 3, 2025
Effective Date: October 25, 2024
Topics: Program Administration

Connecticut

This amendment is to update State Plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.

Approval Date: January 2, 2025
Effective Date: October 1, 2024
Topics: Medicaid and CHIP Program (MACPro) Program Administration

Wisconsin

This amendment is to update State Plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.

Approval Date: January 2, 2025
Effective Date: December 31, 2024
Topics: Medicaid and CHIP Program (MACPro) Program Administration

Mississippi

This amendment grants authority to the appointed Executive Director to submit state plans on behalf of the Division of Medicaid, Office of the Governor, the single state agency.

Approval Date: December 30, 2024
Effective Date: October 11, 2024
Topics: Program Administration