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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 521 to 530 of 635 results
Transmittal Number: TX-09-03
State: Texas
Summary: Implements Cost for Ambulance Services by Austin Travis County Emergency Medical Services.
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Transmittal Number: TX-10-63
State: Texas
Summary: Adds TX A-M Health Science Center to List of Approved State Entities.
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Transmittal Number: TX-10-08
State: Texas
Summary: Extends Medicaid Coverage to Eligible Children Lawful Residents in US under CHIPRA 2009.
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Transmittal Number: AS-10-001
State: American Samoa
Summary: Requests an exception from the Medicaid Recovery Audit Contractor Program.
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  • Financing & Reimbursement
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Transmittal Number: TX-10-083
State: Texas
Summary: Revises the reimbursement methodology for nursing facilities to indicate that payment rates effective February 1, 2011 will be equal to rates in effect August 31, 2010 less three percent.
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  • Financing & Reimbursement
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Transmittal Number: TX-10-89
State: Texas
Summary: Implements a One Percent Payment Reduction for Inpatient Hospital Services Reimbursed Under the Diagnosis Related Group (DRG) Prospective Payment System.
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Transmittal Number: TX-10-84
State: Texas
Summary: Implements a One Percent Payment Reduction for Medicaid Services Provided by Non-State Owned Freestanding Psychiatric Facilities.
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Transmittal Number: TX-10-064
State: Texas
Summary: Updates and clarify the state plan regarding supplemental payments inpatient and outpatient hospital services.
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  • Program Administration
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Transmittal Number: TX-10-069
State: Texas
Summary: Releases payment division standard dollar amount payments and implements a transitional PDSDA to mitigate the impact of rebasing hospital PDSDA payments from Nov. 1, 2010 through Aug. 31, 2011.
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Transmittal Number: TX-10-073
State: Texas
Summary: Revises the reimbursement methodology for non-state operated intermediate care facilities for persons with mental retardation to indicate that payment rates.
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