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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 181 to 190 of 986 results
Transmittal Number: NY-22-0008
State: New York
Summary: amend long term care services to comply with the quality incentive program for the non-specialty nursing homes to continue to recognize improvements in performance.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NY-22-0077
State: New York
Summary: Proposes to add Licensed Psychologist to the provider qualification under Other Licensed Practitioners (OLP) by agencies designated under the Child and Family Treatment and Support Services (CFTSS) designation process.
Approval Date:
Effective Date:
Topics:
  • Other Licensed Practitioners
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Transmittal Number: NY-21-0033
State: New York
Summary: Effective April 1, 2021, this amendment continues UPL supplemental payments to public non-state government owned and operated hospitals for inpatient services in the amount of $366,904,599.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: NY-21-0036
State: New York
Summary: This plan amendment updates the Public General Hospital Outpatient Supplemental

Payment Adjustment for the state fiscal year beginning April 1, 2021 and ending March 31, 2022.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: NY-20-0022
State: New York
Summary: Effective April 1, 2020, this amendment continues UPL supplemental payments to public non-state government owned and operated hospitals for inpatient services in the amount of $334,056,330.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: NY-20-0024
State: New York
Summary: Updates the Public General Hospital Outpatient Supplemental Payment Adjustment for the state fiscal year beginning April 1, 2020 and ending March 31, 2021.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NY-22-0009
State: New York
Summary: This plan amendment updates the Ambulatory Patient Group (APG) for Clinic Free Standing Clinics.


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Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: SD-22-0010
State: South Dakota
Summary: Implements inflationary rate increases, rebases select services, and darifies long-term acute care hospital reimbursement.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: SD-22-0009
State: South Dakota
Summary: This State Plan Amendment codifies a six percent inflationary increase in appropriations resulting from recently passed SD legislation.
Approval Date:
Effective Date:
Topics:
  • Health Homes
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Transmittal Number: NY-22-0074
State: New York
Summary: Children's CFTSS Rate Increase by 5.4% COLA
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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