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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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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: 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
    Links:
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    Transmittal Number: AL-20-0016
    State: Alabama
    Summary: proposes to modify the current Personal Choices program to add Unskilled Respite Services for the State of Alabama Independent Living (SAIL) Waiver to the 1915(j) program.
    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
    Links:
    SHARE THIS MEDICAID STATE PLAN AMENDMENT
    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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    Transmittal Number: AL-20-0018-A
    State: Alabama
    Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to rescind coverage of the optional COVID-19 testing for uninsured individuals which was approved by CMS on May 11, 2020 under AL DR SPA 20-0007.
    Approval Date:
    Effective Date:
    Topics:
    • Disaster Relief
    • Eligibility
    Links:
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    Transmittal Number: NY-15-0048
    State: New York
    Summary: Proposes to eliminate the reduction to the statewide base price for inpatient services
    Approval Date:
    Effective Date:
    Topics:
    • Current State Plan
    Links:
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    Transmittal Number: NY-20-0039
    State: New York
    Summary: Statewide formulary-drugs for Opioid dependence agents and Opioid antagonists
    Approval Date:
    Effective Date:
    Topics:
    • Program Administration
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    Transmittal Number: NY-20-0005
    State: New York
    Summary: The amendment proposes to add housing support services under the rehabilitative services benefit, including psychosocial rehabilitation, counseling, and other services to help beneficiaries maintain housing in the community
    Approval Date:
    Effective Date:
    Topics:
    • Program Administration
    • Benefits
    Links:
    SHARE THIS MEDICAID STATE PLAN AMENDMENT
    Transmittal Number: AL-20-0010
    State: Alabama
    Summary: Seeks an exception to 42 CFR §455.502(b), the Medicaid Recovery Audit Contractor (RAC) program
    Approval Date:
    Effective Date:
    Topics:
    • Program Administration
    Links:
    SHARE THIS MEDICAID STATE PLAN AMENDMENT