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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 986 results
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
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Transmittal Number: SD-19-0011
State: South Dakota
Summary: Effective 11/01/2019 this amendment clarifies that substance use disorder (SUD) early intervention services provided by a SUD agency are covered and SUD treatment services may be provided in an institution for mental disease (IMD).
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
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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
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Transmittal Number: NY-20-0066
State: New York
Summary: Removes service limitations for physical therapy, occupational therapy, and speech-language therapy services in order to provide increased access to nonpharmacoligic treatment alternatives for pain management.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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    Transmittal Number: SD-20-0009
    State: South Dakota
    Summary: Removes the face-to-face requirement for community mental health center providers.
    Approval Date:
    Effective Date:
    Topics:
    • Program Administration
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    Transmittal Number: SD-20-0007
    State: South Dakota
    Summary: implements inflationary rate increases appropriated by the state during the 2020 legislative session
    Approval Date:
    Effective Date:
    Topics:
    • Program Administration
    • Current State Plan
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    Transmittal Number: NY-20-0062
    State: New York
    Summary: proposes to make administrative revisions to the Psychiatric Residential Treatment Facility
    Approval Date:
    Effective Date:
    Topics:
    • Program Administration
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    Transmittal Number: NY-20-0051
    State: New York
    Summary: Across the board reduction 1.5% - IP (FMAP=50%)
    Approval Date:
    Effective Date:
    Topics:
    • Reimbursement
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    Transmittal Number: NY-20-0015
    State: New York
    Summary: This amendment revises reimbursement for general hospital inpatient services.  Specifically, this SPA proposes to reduce specified payments by an additional one percent (1%).  
    Approval Date:
    Effective Date:
    Topics:
    • Financing & Reimbursement
    Links:
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