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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 423 results
Transmittal Number: KS-21-0015
State: Kansas
Summary: increases Nursing Facility Rates for State Fiscal Year (SFY) 2022.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: KS-21-0017
State: Kansas
Summary: Increases the rates for EPSDT Speech Therapy Evaluation and Treatment.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DE-21-0005
State: Delaware
Summary: Adds medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: KS-21-0016
State: Kansas
Summary: updates third party liability language.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: DE-21-0006
State: Delaware
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment to temporarily include retainer payments to address emergency-related issues.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: KS-21-0007
State: Kansas
Summary: This amendment proposes to add medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: KS-21-0012
State: Kansas
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to authorize an additional payment for administering in-home COVID-19 vaccinations to Medicaid members who have difficulty leaving their homes or are otherwise hard-to-reach.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: KS-21-0009
State: Kansas
Summary: Effective April 1, 2021, this amendment increases the rates for therapeutic phlebotomy under the Outpatient hospital and physician services benefit. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: KS-21-0011
State: Kansas
Summary: CMS is approving this time-limited state plan amendment to

respond to the COVID-19 national emergency. The purpose of this amendment is to provide a supplemental payment of $15 per diem to eligible residents for services provided in nursing facilities and nursing facilities for mental health through a one time lump sum payment.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: KS-21-0010
State: Kansas
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to increase reimbursement for COVID-19 vaccine administration from $14.15 to $40.00.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT