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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 141 to 150 of 343 results
Transmittal Number: IA-17-0010
State: Idaho
Summary: This SPA eliminates tiered benefits in the Dental Wellness Plan.
Approval Date:
Effective Date:
Topics:
  • Dental
  • Program Administration
Links:
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Transmittal Number: ID-17-0012
State: Idaho
Summary: This SPA shortens the initial cost reporting period for new Behavioral Care Units (BCUs) from one-year to 60 days minimum.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: DE-17-008
State: Delaware
Summary: This amendment recognizes incurred medical or remedial care expenses as those that are incurred during the three months preceding the month of application.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: ID-17-0008
State: Idaho
Summary: This SPA amends Idaho's Basic Alternative Benefit Plan (Basic ABP) to align the Basic ABP's benefit plans with the changes that have been made to the Base Benchmark plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ID-17-0001
State: Idaho
Summary: This SPA amends Idaho's Medicare-Medicaid Coordinated Alternative Benefit Plan (MMCP) to align the MMCP's benefit plans with changes made to the Base Benchmark plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ID-17-0009
State: Idaho
Summary: This SPA amends Idaho's Enhanced Alternative Benefit Plan (Enhanced ABP) to align the Enhanced ABP's benefit plans with the changes that have been made to the Base Benchmark plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DE-17-006
State: Delaware
Summary: This amendment allows lactation counseling services as a separately reimbursed service.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: DE-16-011
State: Delaware
Summary: To establish coverage and reimbursement methodologies for targeted case management services for individuals with intellectual disabilities.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: DE-17-003
State: Delaware
Summary: This amendment provides a mechanism for Federally Qualified Health Centers (FQHC) to be compensated for Long-Acting Reversible Contraceptives (LARCs) that are not included in the FQHC's rates
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ID-17-0003
State: Idaho
Summary: This transmittal aligns the Idaho SPA in accordance with the actual acquisition cost (AAC) reimbursement requirements under the Covered Outpatient Drugs final rule.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT