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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 701 to 710 of 986 results
Transmittal Number: NY-13-69
State: New York
Summary: Temporary Rate Adjustments for Mergers, Acquisitions, Consolidations, Restructurings, and Closures - Nursing Homes.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Managed Care
Links:
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Transmittal Number: NY-13-67
State: New York
Summary: This amendment modified and extends Vital Access Provider I Safety Net Provider (VAP/SNP) enhanced payments to the North East Center for Special Care nursing facility through March 31, 2016.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: SD-13-004
State: South Dakota
Summary: Provides-updates,to the reimbursement methodology for\u00B0inpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: NY-14-0003
State: New York
Summary: Modified Adjusted Gross Income Eligibility.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NY-13-0055-MM3
State: New York
Summary: This SPA incorporates the MAGI-Based Income Methodologies into New York's state plan in accordance with the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: NY-13-0054-MM2
State: New York
Summary: This SPA incorporates the MAGI-based eligibility process requirements, including the single streamlined application into the New York Medicaid state plan in accordance with the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: SD-13-022
State: South Dakota
Summary: This SPA allows the Department to use the financial eligibility findings of the Supplemental Nutrition Assistance Program (SNAP) to enroll and reenroll children under age 19 in Medicaid.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: NY-13-64
State: New York
Summary: Pregnant Minors FMAP.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: NY-11-89
State: New York
Summary: Implement an expanded definition of terminal illness such that an individual who is certified by a physician as terminally ill with a life expectancy of twelve months or less is eligible to elect the hospice benefit effective.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NY-13-13
State: New York
Summary: Provides a new methodology to distribute DSH payments for indigent care.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT