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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 181 to 190 of 868 results
Transmittal Number: TX-21-0002
State: Texas
Summary: Clarifies that, to the extent required by EPSDT, a licensed behavior analyst (LBA) operating within the LBA’s state scope of practice and licensure requirements may provide applied behavior analysis (ABA) evaluation and treatment services to children under 21 who have a diagnosis of autism spectrum disorder (ASD).
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
Links:
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Transmittal Number: TX-21-0044
State: Texas
Summary: updates the Ambulatory Surgical Centers fee schedule.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: TX-21-0045
State: Texas
Summary: updates the physicians' and other practitioners' fee schedules and reimbursement methodology.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NJ-21-0016
State: New Jersey
Summary: This amendment proposes to include an attestation that the state provides non-emergency medical transportation (NEMT) services consistent with the provisions outlined in the Consolidated Appropriations Act, 2021.
Approval Date:
Effective Date:
Topics:
  • Transportation
Links:
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Transmittal Number: NJ-20-0006
State: New Jersey
Summary: Include the substance use disorder care management services to the state’s Alternative Benefits Plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
Links:
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Transmittal Number: TX-21-0012
State: Texas
Summary: This SPA proposes to revise the methodology for assessing payment adjustments for Potentially Preventable Readmissions.
Approval Date:
Effective Date:
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Transmittal Number: TX-21-0034
State: Texas
Summary: This proposed amendment will adjust the payment rate methodology for pediatric nursing

facilities so that it is based upon the unadjusted federal per diem rate for rural Medicare skilled

nursing facilities for the most recent federal fiscal year.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NJ-21-0020
State: New Jersey
Summary: this amendment proposes temporary rate adjustments to State University of New York (SUNY) Upstate Medical University for inpatient psychiatric services through March 31, 2025.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NJ-21-0009
State: New Jersey
Summary: This amendment continues authorization for $24,000,000 in Graduate Medical Education Supplemental (GME-S) Subsidy payments made on behalf of individuals enrolled in the New Jersey CW Demonstration.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: TX-21-0048
State: Texas
Summary: The proposed amendment updates the Home Health fee schedules.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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