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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 343 results
Transmittal Number: DE-15-0006
State: Delaware
Summary: To amend the State Plan to revise and clarify the reimbursement methodology for private duty nursing services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: ID-15-0002
State: Idaho
Summary: This SPA transitions the state from the Federally Facilitated Marketplace to a State-Based Marketplace. This SPA also updates the single state agency's delegation of appeals and determinations in accordance with the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: ID-13-0019
State: Idaho
Summary: This transmittal describes the single state agency's delegation of appeals and determinations in accordance with the Affordable Care Act and updates the state's organizational structure.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: ID-15-0005
State: Idaho
Summary: Sets reimbursement for services provided in a freestanding mental health facility at 91 percent of the Medicare rate for dates of service the participant is a resident of the facility.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DE-15-004
State: Delaware
Summary: Recognizes an approved telemedicine site as a Medicaid beneficiary's place of residence, day program, or alternate location in which the beneficiary is physically present and telemedicine can be effectively utilized.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: DE-15-003
State: Delaware
Summary: To cease reimbursement and coverage of Community Support Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: DE-15-002
State: Delaware
Summary: Recognizes the Medicaid Beneficiary's Place of Residence as an Originating Site.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: DE-15-001
State: Delaware
Summary: Revises the Multi-State Purchasing Pool Supplemental Rebate Agreement (SRA) for Pharmaceutical Products to Include Medicaid Managed Care Organization (MCO) Utilization for the Accrual of Supplemental Rebates.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: ID-15-001
State: Idaho
Summary: This SPA the optional state supplement standards for special income level groups consistent with the published 2015 federal poverty levels.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DE-14-0015
State: Delaware
Summary: This SPA extends the primary care physician services rate increase at the regular federal matching rate.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT