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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 41 to 50 of 548 results
Transmittal Number: ID-23-0020
State: Idaho
Summary: Amendment to the State Plan to update the Private, State, and County-Owned Nursing Facility Supplemental Payment section to reflect changes requested by CMS before implementing the Department’s new Patient Driven Payment Methodology Upper Payment Limit (PDPM UPL) methodology.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MI-23-0500
State: Michigan
Summary: Updates G2c and G3 templates to eliminate the Healthy Michigan Plan copay tier and modify the cost sharing limitation language to remove the references to the Healthy Michigan Plan.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MI-24-0500
State: Michigan
Summary: Updates the G3 templates to eliminate the MiChild Premium from the SPA page.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MI-24-0100
State: Michigan
Summary: To address continuous eligibility for children under 19 years of age.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: MI-24-0001
State: Michigan
Summary: Eliminates the MiChild Premium Payment.
Approval Date:
Effective Date:
Topics:
  • Premiums
Links:
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Transmittal Number: MI-25-0003
State: Michigan
Summary: Proposes an exception to the Recovery Audit Contractor (RAC) Program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MI-23-0030
State: Michigan
Summary: This plan amendment updates the effective date for the 1915(i) Community Transition Services, Targeted Case Management.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MI-23-0029
State: Michigan
Summary: This SPA provides authority to establish hospital reimbursement, separate from the Diagnosis Related Group (DRG) payment, for Spinraza and drugs for which the State has entered CMS approved outcomes-based contract arrangements with drug manufacturers for drugs provided to Medicaid beneficiaries.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MI-23-1006
State: Michigan
Summary: Clarifies language regarding prior authority requirements and maximum benefits for skilled maintenance therapy.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: MI-23-0028
State: Michigan
Summary: This SPA clarifies language regarding prior authority requirements and maximum benefits for skilled maintenance therapy.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT