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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 61 to 70 of 1116 results
Transmittal Number: NY-21-0045-A
State: New York
Summary: This plan amendment implements a one percent (1%) Cost-of-Living Adjustment (COLA) to Specialty Hospital rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-22-0027-C
State: New York
Summary: This plan amendment provides Physician Supplemental UPL Payments to Westchester, Erie, and Nassau Medical Centers.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: AZ-23-0016
State: Arizona
Summary: This plan amendment authorizes the Arizona disproportionate share hospital (DSH) pool 1, 2, 1A, 2A, and 4 payments, for the DSH state plan rate year ending 2024.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-24-0025
State: New York
Summary: This plan amendment updates the quality incentive program for non-specialty nursing homes will continue to recognize improvement in performance and provide for other minor modifications.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-24-0034
State: New York
Summary: To technically correct the plan to add back approved language erroneously dropped from the approved SPA 19-0003 and carried forward to approved SPA 22-0043.
Approval Date:
Effective Date:
Topics:
  • Home Health
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AZ-24-0004
State: Arizona
Summary: This amendment is to implement twelve months of continuous eligibility for children.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: NY-24-0059
State: New York
Summary: Update its Medically Needy resource levels.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: NY-22-0005
State: New York
Summary: The definition of rural designation for inpatient psychiatric services is changed from an average county population density of 225 per square mile to 300 per square mile based on 2020 census data.
 
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-23-0070
State: New York
Summary: This plan proposes to implement a 4% rate increase for Addiction Services and Supports (OSAS) rehabilitative services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-22-0054
State: New York
Summary: Effective April 1, 2022, this amendment implements a 5.4 percent (%) Cost-of-Living Adjustment (COLA) to psychiatric residential treatment facility (PRTF) rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT