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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 121 to 130 of 544 results
Transmittal Number: MI-22-0011
State: Michigan
Summary: Updates the Outpatient Prospective Payment System (OPPS) hospital dental rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MI-22-0014
State: Michigan
Summary: Updates Vaccine Administration rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MI-22-0012
State: Michigan
Summary: Updates the Primary Care Physician Services rate.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: MI-22-0015
State: Michigan
Summary: Updates Neonatal Services rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MI-22-0013
State: Michigan
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 allow for a temporary change to the nursing facility rate setting methodology.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: MI-22-0010
State: Michigan
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 adjust incontinence supply competitive bid rates.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: MI-22-1501
State: Michigan
Summary: Updating the Opioid Health Home to reflect the current Opioid Heath Home (OHH) to optimize and expand the OHH in select Michigan Counties. The specific counties include: Arenac, Barry, Bay, Berrien, Branch, Cass, Clare, Clinton, Eaton, Gladwin, Gratiot, Hillsdale, Huron, Ingham, Ionia, Isabella, Mecosta, Midland, Montcalm, Newaygo, Oakland, Osceola, Saginaw, Shiawassee, St. Joseph, Tuscola, and Van Buren.
Approval Date:
Effective Date:
Topics:
  • Health Homes
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Transmittal Number: DC-22-0007
State: District of Columbia
Summary: This SPA removed the fifteen (15) day limit that an individual identified for inclusion in the Pharmacy Lock-in Program has to submit a request for a hearing on the lock-in decision from the state plan pages.
Approval Date:
Effective Date:
Topics:
  • Prescribed Drugs
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Transmittal Number: DC-22-0008
State: District of Columbia
Summary: will allow pharmacies to receive reimbursement for the administration fee associated with providing VFC program vaccine and immunizations.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MI-22-0009
State: Michigan
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 allow administration of COVID-19 therapies and treatments by licensed paramedics within the scope of their practice as defined under State law.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
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