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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 71 to 80 of 108 results
Transmittal Number: MI-14-004
State: Michigan
Summary: Update of the Ambulatory Surgical Center (ASC) budget neutrality factor.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: MI-14-0001
State: Michigan
Summary: Michigan’s Alternative Benefit Plan (ABP) state plan amendment TN 14-0001: Medicaid Alternative Benefit Plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: MI-12-006
State: Michigan
Summary: Implementation of a multi payer demonstration project to reform primary care payment models and expand the capabilities of patient-centered medical homes throughout Michigan.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MI-13-008
State: Michigan
Summary: This amendment revises reimbursement methodology for inpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: MI-13-007
State: Michigan
Summary: Revises Reimbursement Methodology for Capital Interim Payments (CIP).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MI-13-001
State: Michigan
Summary: Reimbursement for services to qualified providers is made at the Medicare rate if the services are covered by Medicare.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: MI-11-011
State: Michigan
Summary: This amendment proposes methodology for the redistribution of disproportionate share hospital (DSH) payments. Specifically, this amendment is proposing a multi-step DSH payment process that encompasses the current approved DSH payment methodology, but provides for the re-distribution of DSH payments upon the receipt of more current cost report data and the results of the annual independent DSH audit and reporting process.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MI-12-017
State: Michigan
Summary: This amendment increases DSH payments to non-state government-owned or operated hospitals for fiscal years 2012 and 2013. Additionally, this amendment increases DSH payments to hospitals with an indigent care agreement (ICA) with a partner health care related entity, and revises the individual hospital payment amounts for the ICA DSH Pool identified in the state plan.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MI-12-12
State: Michigan
Summary: This amendment increases the amount in the GME funds pool for fiscal years (FY) 2012 and 2013.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MI-11-16
State: Michigan
Summary: This amendment reduces the Graduate Medical Education (GME) Funds payment pool size for fiscal year (FY) 2012 and increases the Primary Care payment pool size for FY 2012.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT