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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.

Results

Displaying 721 - 730 of 15696

New York

This plan amendment assists hospitals by providing a temporary rate adjustment under the closure, merger, consolidation, acquisition, or restructuring of a health care provider.

Approval Date: September 5, 2024
Effective Date: March 1, 2023

Arizona

This plan amendment authorizes state fiscal year 2024 Graduate Medical Education payment pools for new programs or expanded positions that began on or after July 1, 2020.

Approval Date: September 5, 2024
Effective Date: September 30, 2023

Colorado

This plan amendment provides for a two percent inflationary increase to the per diem rates for both Specialty-Acute and Rehabilitation hospitals.

Approval Date: September 5, 2024
Effective Date: July 1, 2024

New York

This plan amendment updates the minimum wage values to bring minimum wage up to the authorized final minimum wage of $15.00.

Approval Date: September 5, 2024
Effective Date: January 1, 2023

Montana

This plan amendment removes specific per diem rates for Comprehensive Behavioral Health Treatment (CBHT) services.

Approval Date: September 5, 2024
Effective Date: July 1, 2024

Oklahoma

This state plan establishes reimbursement methodology for services rendered by pharmacists.

Approval Date: September 5, 2024
Effective Date: November 1, 2024

Maryland

This SPA allows Maryland to cover select imported drugs due to shortages identified by the Food and Drug Administration, as well as to provide the reimbursement methodology for select prescribed drugs.

Approval Date: September 5, 2024
Effective Date: May 14, 2024
Topics: Drug Shortages Prescribed Drugs Reimbursement

Kansas

This amendment proposes adds adult dental benefits to the STEPS Alternative Benefit Plan (ABP) due to the expanded dental services in the Kansas Medicaid Plan.

Approval Date: September 4, 2024
Effective Date: July 1, 2024
Topics: Alternative Benefit Plan

Kansas

This amendment adds adult dental benefits to the Working Healthy Alternative Benefit Plan (ABP) population due to the expanded dental services in the Kansas Medicaid Plan.

Approval Date: September 4, 2024
Effective Date: July 1, 2024
Topics: Alternative Benefit Plan

Mississippi

This amendment proposes to allow the Division of Medicaid to request an exemption from the federal requirement to contract with a Recovery Audit Contractor.

Approval Date: September 4, 2024
Effective Date: July 1, 2024
Topics: Program Administration