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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 511 to 520 of 773 results
Transmittal Number: TX-12-32
State: Texas
Summary: The plan amendment updates the physicians and other practitioners' fee schedule. The plan amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: TX-12-31-NIRT
State: Texas
Summary: The purpose of this amendment is to provide for supplemental Medicaid payments to non-state government owned nursing facilities.
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  • Financing & Reimbursement
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Transmittal Number: SD-12-011
State: South Dakota
Summary: Add on reimbursement piece to reimbursement methodology for non-State owned and operated skilled nursing facilities.
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  • Financing & Reimbursement
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Transmittal Number: SD-12-009
State: South Dakota
Summary: Replacing obsolete language regarding reimbursement cuts in inpatient hospital reimbursement methodology.
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  • Financing & Reimbursement
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Transmittal Number: TX-12-20
State: Texas
Summary: This amendment updates the administrative practices, definitions, and procedures for State and Non-State Disproportionate Share Hospitals (DSH).
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  • Program Administration
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Transmittal Number: SD-12-010
State: South Dakota
Summary: Outpatient hospital reimbursement updates.
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  • Financing & Reimbursement
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Transmittal Number: TX-12-09
State: Texas
Summary: This state plan amendment implements changes in federal law pertaining to provider enrollment and provider screening and assures that the State complies with the regulations at 42 CFR 445 Subpart E. The State indicated that there is no fiscal impact. This SPA does not have a direct impact on tribes; therefore, tribal consultation was not required.
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Transmittal Number: TX-12-05
State: Texas
Summary: Changes the reimbursement methodology for brokered non-emergency transportation.
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  • Financing & Reimbursement
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Transmittal Number: TX-12-27 M
State: Texas
Summary: Removes audiologists from the "other licensed practitioners: section of the state plan.
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  • Program Administration
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Transmittal Number: SD-12-004
State: South Dakota
Summary: This amendment updates State plan language by adjusting the payment amounts to qualifying disproportionate share hospitals, in addition to graduate medical education payments, so that total expenditures remain within the appropriated amount.
Approval Date:
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