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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 151 to 160 of 969 results
Transmittal Number: DE-22-0019
State: Delaware
Summary: Updates Delaware State Plan regarding telemedicine, specifically, to sunset telemedicine Attachment 3.1-A introductory pages 1-2 and to modify language in Attachment 4.19-B Page 24.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: NY-22-0090
State: New York
Summary: Proposes to allow Article 29-I Health Facilities to be reimbursed for care and services provided by exempt practitioners as defined under State law who were employed by an authorized setting as of June 24, 2022 and continue to work there or in another authorized setting, working under the supervision of a professional licensed pursuant to Article 153 (psychologists), 154 (social workers) or 163 (mental health practitioners) of the State Education law.
Approval Date:
Effective Date:
Topics:
  • Preventative Services
Links:
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Transmittal Number: DE-22-0015
State: Delaware
Summary: This amendment requests for an exception from the Medicaid Recovery Audit Contractor (RAC) requirements.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: DE-23-0001
State: Delaware
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 waive signature requirements for dispensing of drugs during the COVID-19 Public Health Emergency.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Prescribed Drugs
Links:
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Transmittal Number: DE-22-0007
State: Delaware
Summary: The purpose of this SPA is to come into compliance with Treatment requirements of Section 9811 of the American Rescue Plan.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: DE-22-0008
State: Delaware
Summary: The purpose of this SPA is to come into compliance with Vaccine requirements of Section 9811 of the American Rescue Plan.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: DE-22-0009
State: Delaware
Summary: The purpose of this SPA is to come into compliance with testing requirements of Section 9811 of the American Rescue Plan.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: NY-23-0003
State: New York
Summary: This plan updates the rates for Residential Stabilization and Residential Rehabilitation.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-22-0035
State: New York
Summary: This plan revises the methodology for distributing Clinic Safety Net

(CSN) payments for non-FQHCs.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-22-0034
State: New York
Summary: This State Plan Amendment extends disproportionate share hospital (DSH) payments to county hospitals and hospitals operated by the State of New York or the State University of New York (SUNY) for the periods April 1, 2022, through March 31, 2025.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT