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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 31 to 40 of 1173 results
Transmittal Number: MI-24-1003
State: Michigan
Summary: This amendment provides authority to cover targeted case management services for recuperative care.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
  • Targeted Case Management
Links:
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Transmittal Number: NY-23-0063
State: New York
Summary: This plan amendment provides additional payments to non-state government public residential health care facilities.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-23-0075
State: New York
Summary: To establish Medical Assistance coverage and rates of payment for Coordinated Specialty Care (CSC), an evidence-based practice model for the treatment of young people experiencing a first episode of psychosis (FEP).
Approval Date:
Effective Date:
Topics:
  • Preventative Services
Links:
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Transmittal Number: MI-24-0012
State: Michigan
Summary: This plan amendment provides authority to assess a late-file penalty to nursing facilities who do not submit a complete and acceptable cost report within the timeframes established by MDHHS.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MI-24-1002
State: Michigan
Summary: Expands the list of applicable diagnoses to reflect the SUD-Health Home in conjunction with the related traditional SPA (MI 24-1501).
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: MI-24-0016
State: Michigan
Summary: Removes language related to the Paternity Confinement Expenses to align with elimination.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NY-19-0029
State: New York
Summary: This plan amendment eliminates the existing sunset date for Certified Home Health Agencies (CHHA) episodic payment methodology.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-24-0037
State: New York
Summary: The Centers for Medicare & Medicaid Services (CMS) has reviewed the proposed New York state plan amendment (SPA) NY-24-0037 for NYS Health Home Program to adjust payment rates for a 2.84 percent (2.84%) cost of living adjustment and to allow supplemental payments intended for services provided to eligible adults who meet risk and acuity criteria for Health Home Plus and receiving Assisted Outpatient Treatment (AOT).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MI-24-0010
State: Michigan
Summary: This plan amendment continues the rate increase for Incontinence Volume Purchase Contract and non-sterile gloves.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-23-0042
State: New York
Summary: This plan amendment provides a seven and a half percent rate increase to nursing homes.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT