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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 970 results
Transmittal Number: AK-22-0008
State: Alaska
Summary: This amendment reflects the new organizational structure of the single state agency of Alaska.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AK-22-0007
State: Alaska
Summary: Update to the effective date for reimbursement rates for Residential Psychiatric under 21 Benefit.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: AK-22-0006
State: Alaska
Summary: This amendment updates the state plan to waive the Recovery Audit Contractor (RAC) Program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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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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Transmittal Number: NY-22-0044
State: New York
Summary: Increases the reimbursement for the assessment and delivery of medically necessary Applied Behavioral Analysis (ABA) services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: AK-22-0009
State: Alaska
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 implement a 10% rate increase for providers of Title XIX Home and Community Based Services as follows: (HCB) Personal Care Services, 1915(k) Community First Choice Services (CFC), and Long-Term Services and Supports Targeted Case Management Services(LTSS-TCM). The department intends this increase to facilitate increased wages and promote the hiring and retention of HCBS direct service workers, an area adversely impacted by the COVID-19 pandemic.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
  • Home and community based services
Links:
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Transmittal Number: NY-22-0043
State: New York
Summary: Proposes to reimburse licensed clinical social workers to bill Medicaid directly for services provided within their scope of practice.
Approval Date:
Effective Date:
Topics:
  • Home Health
Links:
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Transmittal Number: NY-22-0045
State: New York
Summary: Proposes to reimburse licensed mental health counselors and licensed marriage and family therapists to bill Medicaid directly for services provided within their scope of practice.
Approval Date:
Effective Date:
Topics:
  • Other Licensed Practitioners
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Transmittal Number: NY-22-0067
State: New York
Summary: Increases the operating cost component rates for Federally Qualified Health Care Centers and Rural Health Care centers by 1%.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NY-22-0059
State: New York
Summary: sets an end date of March 31, 2022, for a previously approved one and one-half percent (1.5%) across-the-board payment reduction on hospital inpatient services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT