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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 311 to 320 of 781 results
Transmittal Number: TX-17-0025
State: Texas
Summary: This amendment updates the chemical dependency treatment facility fee schedule.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: TX-17-0017
State: Texas
Summary: Updates the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program fee schedule.
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Effective Date:
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  • Benefits
  • Financing & Reimbursement
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Transmittal Number: TX-16-0001
State: Texas
Summary: This amendment expands the needs based-eligibility criteria for the Home and Community-Based Services - Adult Mental Health (HCBS-AMH) 1915(i) programs to include adults with a diagnosis of a serious mental illness (SMI) who have a history of psychiatric crisis and repeated discharges from correctional facilities, as well as adults with a diagnosis of SMI who have a pattern of emergencydepartmentutilization.
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Effective Date:
Topics:
  • Benefits
  • Eligibility
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Transmittal Number: TX-17-0024
State: Texas
Summary: MAGI-Based Methodologies.
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Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Financing & Reimbursement
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Transmittal Number: TX-17-0021
State: Texas
Summary: Updates Medicaid payments and Medicaid fee schedules for physical, occupational, and speech therapy services.
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  • Financing & Reimbursement
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Transmittal Number: TX-17-0019
State: Texas
Summary: Revises the definition of a rural hospital for Medicaid reimbursement purposes.
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Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: TX-17-0001
State: Texas
Summary: This amendment removes the State plan attachment pages for case management services for blind and visually impaired children due to an administrative change.
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Effective Date:
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  • Program Administration
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Transmittal Number: NM-17-0004
State: New Mexico
Summary: This plan amendment makes a technical change to select a new base benchmark plan in accordance with Alternate Benefit Plan conforming changes requirements.
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Effective Date:
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  • Program Administration
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Transmittal Number: TX-17-0020
State: Texas
Summary: This SPA expands the list of specialized add-on services available to Medicaid recipients residing in a Medicaid-certified nursing facility who are 21 years of age or older and who have been found through the Pre-admission Screening and Resident Review (PASRR) process to need such services.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: TX-17-0016
State: Texas
Summary: The state plan amendment updates the fee schedule for physicians and other practitioners.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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