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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 994 results
Transmittal Number: NY-20-0041
State: New York
Summary: Effective April 1, 2021, this amendment adds Electronic Visit Verification (EVV) compliance language and make technical language changes to update personal care benefits under the state plan. There are no changes to services and no impact to beneficiaries.  
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NY-20-0061
State: New York
Summary: This amendment clarifies the existing methodology for distribution of the rural enhancement for personal care services. 
Approval Date:
Effective Date:
Topics:
  • Federal Financial Match
  • Program Administration
Links:
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Transmittal Number: NM-20-0025
State: New Mexico
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to add pharmacists, pharmacy interns, pharmacy technicians, and pharmacies as qualified providers of COVID-19 vaccinations and to implement reimbursement for the COVID-19 vaccine administration.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
Links:
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Transmittal Number: NY-20-0060
State: New York
Summary: Effective 10/01/2020, this amendment increases the fess for private duty nursing services. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NY-21-0005
State: New York
Summary: Effective 04/01/2021, this amendment establishes weekly Opioid Treatment Program (OTP) bundled fees as a payment alternative to the OTP Ambulatory Patient Group methodology.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NM-20-0020
State: New Mexico
Summary: Increases rates for Air Ambulance
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: NM-20-0016
State: New Mexico
Summary: Effective January 01, 2021, this amendment eliminates the resource standards for the following Medicare Savings Plan categories: Qualified Medicare Beneficiaries, Specified Low-income Medicare Beneficiaries; and Qualified Individuals. 
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NM-20-0018
State: New Mexico
Summary: Rescinds the temporary rate increases to nursing facilities for the treatment of Medicaid members who test positive for COVID-19
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: NM-20-0017
State: New Mexico
Summary: Updates DRG rates for inpatient hospital services for Intensive Care Unit inpatient hospital stays as well as all other inpatient hospital stays
Approval Date:
Effective Date:
Topics:
  • Inpatient Drug Prices for Public Hospitals
  • Financing & Reimbursement
Links:
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Transmittal Number: NY-20-0054
State: New York
Summary: Care Coordination Organization/ Health Home (CCO/HH) Program
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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