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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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Transmittal Number: OR-12-010
State: Oregon
Summary: This SPA was submitted to reflect a change to the date for the published fee schedule for Targeted Case Management for (TCM) Medicaid High Risk Infants and Children.
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Transmittal Number: OR-12-009
State: Oregon
Summary: This SPA was submitted to reflect an increase to some Durable Medical Equipment rates due to a legislative budget adjustment in SB 5701-A.
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Transmittal Number: OR-12-007
State: Oregon
Summary: This SPA adds Non-Traditional Healthcare Workers under the supervision of a licensed health care professional to the Medicaid State plan.
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Transmittal Number: ND-12-013
State: North Dakota
Summary: Update the payment methodology language for FQHHC's to allow a one-time rate adjustment to their medical and dental rates.
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Transmittal Number: ND-12-016
State: North Dakota
Summary: Amends the State Plan to provide a supplemental payment for' ICF providers.
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  • Financing & Reimbursement
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Transmittal Number: OR-12-008
State: Oregon
Summary: Adds an option to FQHC clinics to receive an Alternate Payment Methodology (APM) for reimbursement.
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Transmittal Number: OR-12-02
State: Oregon
Summary: Updates Methods of Assuring Transportation, to reflect the current, long-standing, statewide use of non-emergency medical transportation brokers under a 1915(b) waiver, to arrange transportation and to reimburse for all but two types of transportation-related costs.
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Transmittal Number: ND-12-015
State: North Dakota
Summary: Adds Tobacco Cessation Counseling for Pregnant Women.
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Transmittal Number: OR-11-016
State: Oregon
Summary: This transmittal is being submitted to implement changes to prevent the payment of Provider Preventable Conditions. These are conditions that would have been reasonably avoided through the application of evidence-based practices.
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Transmittal Number: ND-12-006
State: North Dakota
Summary: Amends the State Plan to Implement the Resource Utilization Group (RUG) IV classification system, Identify the increase for nursing facility services, change the allowable education expense limit, identify salaries accrued at a facility's year end, but not paid within 75 days of The cost report yearend as an unallowable cost, and additional changes to provide for further detail on reporting requirement.
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