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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 271 to 280 of 781 results
Transmittal Number: TX-19-0010
State: Texas
Summary: Mmodifies the reimbursement methodology in the state plan for certain 1915(i) HCBS) by requiring biennial, rather than annual, cost reports from providers.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: TX-19-0012
State: Texas
Summary: Purpose is to require biennial costs reports for nursing facilities, and they will submit cost reports every other year.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: TX-19-0011
State: Texas
Summary: Clarifies language regarding the inflation projection methodology for the Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF\/IID) program, and it will revise the ICF\/IID nursing wage inflation methodology.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: TX-19-0007
State: Texas
Summary: Updates the physicians' and other practitioners' state plan pages by identifying the new conversion factor (CF) for anesthesia services provided by certain children's hospitals.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
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Transmittal Number: TX-19-0008
State: Texas
Summary: Updates the family planning services fee schedule.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: TX-19-0006
State: Texas
Summary: Updates the durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) and the hearing aids and audiometric evaluations fee schedules.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: TX-19-0005
State: Texas
Summary: Updates the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program fee schedule.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: TX-19-0004
State: Texas
Summary: Updates the physicians' and other practitioners' fee schedule.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: TX-19-0003
State: Texas
Summary: Updates the chemical dependency treatment facilities fee schedule.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: TX-19-0002
State: Texas
Summary: Updates the clinical diagnostic laboratories (CDL) fee schedule.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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