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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 171 to 180 of 318 results
Transmittal Number: DE-17-001
State: Delaware
Summary: Expands coverage and allow reimbursement for chiropractors' services for all Medicaid eligible individuals.
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  • Benefits
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Transmittal Number: DE-17-005
State: Delaware
Summary: This amendment clarifies the limitation on agents used for cosmetic purposes or hair growth will only be covered when the state has determined that use to be medically necessary.
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  • Benefits
  • Program Administration
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Transmittal Number: NM-16-02
State: New Mexico
Summary: Establishes an alternate payment methodology for federally qualified health centers (FQHC) that train primarycare resident physicians.
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  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: NM-16-009
State: New Mexico
Summary: Implements a five percent rate increase for Early and Periodic Screening, Diagnosis and Treatment screenings and various rate reductions for medical practitioner reimbursement.
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  • Financing & Reimbursement
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Transmittal Number: NM-16-004
State: New Mexico
Summary: This amendment eliminates the Primary Care Provider Enhanced Payments.
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  • Financing & Reimbursement
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Transmittal Number: NM-16-005
State: New Mexico
Summary: This amendment was submitted to implement a three percent rate reduction for outpatient hospital services.
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  • Financing & Reimbursement
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Transmittal Number: NM-16-006
State: New Mexico
Summary: This amendment was submitted to implement a five percent reduction for inpatient hospital rates, base rates, and capital pass through amounts.
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  • Financing & Reimbursement
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Transmittal Number: NM-16-007
State: New Mexico
Summary: This amendment was submitted to implement a two percent rate reduction for dental services.
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  • Financing & Reimbursement
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Transmittal Number: DE-16-010
State: Delaware
Summary: To establish coverage and reimbursement methodologies for treatment services for Medicaid recipients up to twenty-one (21) years of age who have a diagnosis of Autism Spectrum Disorder.
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Topics:
  • Benefits
  • Financing & Reimbursement
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Transmittal Number: NM-16-008
State: New Mexico
Summary: This amendment is to update the language regarding the payment methodology for Indirect Medical Education (IME) and Graduate Medical Education (GME).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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