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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 641 to 650 of 1091 results
Transmittal Number: NY-16-0044
State: New York
Summary: Clarifies New York's reimbursement policy with respect to hospitals that have undergone full asset merger.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NY-16-0019
State: New York
Summary: Amendment proposes to revise the IEP eligibility ratio formula for school-based health services for school-age children and extend the sunset date to June 30, 2017.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Program Administration
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Transmittal Number: NY-16-0020
State: New York
Summary: Amendment proposes to revise the IEP eligibility ratio formula for school-based health services for school-age children and extend the sunset date to June 30, 2017.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
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Transmittal Number: OR-16-0011
State: Oregon
Summary: This SPA reflects the types of managed care risk contracts that apply to Oregon's Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: NY-15-0043
State: New York
Summary: To continue the trend factor to an amount no greater then zero for nursing facility for services provided on and after April 23, 2013 through March 31, 2017.
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Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: NY-15-0040
State: New York
Summary: Proposes an incentive payment to encourage nursing homes to reduce existing approved debt service costs by refinancing.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NY-16-0018
State: New York
Summary: Eliminates the NY nursing per diem rate allowance for transportation costs paid to medical payments.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NY-16-0035
State: New York
Summary: To continue supplemental payments to hospitals operated by Health and Hospitals Corporation in New York City for the period April 1, 2016 through December 2016 in the amount of $337,471,812.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NY-14-0040
State: New York
Summary: Modifies the listing of hospital-based outpatient providers approved to receive temporary rate adjustments.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NY-14-0013
State: New York
Summary: Hospital-based Outpatient: CAHs Phase 2 Group 2 FMAP 50%.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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