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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 151 to 160 of 173 results
Transmittal Number: DE-11-007
State: Delaware
Summary: This SPA identifies as a plan service concurrent hospice services for children under age 21 years, pursuant to Section 2302 of the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: DE-11-011
State: Delaware
Summary: Which propose to implement Asset Verification System, a system for verifying the assets of aged, blind or disabled applicants for and recipients of Medicaid.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: DE-11-009
State: Delaware
Summary: Reimbursement methodologies for medical and dental free-standing clinics.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DE-11-006
State: Delaware
Summary: The State Plan to include Medicaid coverage for comprehensive tobacco cessation services for pregnant women. The State is taking this action in accordance with Section 4107 of the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: DE-11-005
State: Delaware
Summary: Implements regulations for provider preventable conditions and related payment adjustments for Medicaid.
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Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: DC-11-06
State: Delaware
Summary: Prohibition on Payments to Institutions or Entitles located Outside of the United States.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MP-11-002
State: Northern Mariana Islands
Summary: Proposed Section 4- General Program Administration 4.44 Medicaid Prohibition on Payments to Institutions or entities located outside of the United States.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: DE-11-003
State: Delaware
Summary: Medicaid Prohibition on payments to institutions or entities located outside of the United States.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DE-11-004
State: Delaware
Summary: Update Delaware's State Plan to exempt Medicare cost sharing benefits paid under the Medicare Savings.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
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Transmittal Number: DE-11-001
State: Delaware
Summary: Public Assistance Reporting Information System.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT