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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 51 to 60 of 653 results
Transmittal Number: ND-23-0029
State: North Dakota
Summary: This amendment amends the State Plan to add coverage of adult vaccines and to update vaccines rates quarterly.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
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Transmittal Number: ND-23-0032
State: North Dakota
Summary: This SPA amends the State Plan to add coverage of select weight loss medications.
Approval Date:
Effective Date:
Topics:
  • Prescribed Drugs
  • Prescription Drugs
  • Coverage
  • Weight Loss Drugs
  • Obesity Drugs
Links:
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Transmittal Number: ND-23-0027
State: North Dakota
Summary: With this amendment the state is making the following updates: remove annual service limits and revise provider qualifications for care coordination, benefits planning, housing supports, revocational training, supported employment, and supported education.
Approval Date:
Effective Date:
Topics:
  • Home and community based services
Links:
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Transmittal Number: ND-23-0026
State: North Dakota
Summary: in which the state increases the income eligibility level for pregnant individuals and provide coverage to lawfully residing pregnant individuals.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: ND-23-0028
State: North Dakota
Summary: This state plan amendment will supersede SPA ND-23-0020 and updates reimbursement for in-state PPS outpatient hospital services to the Enhanced Ambulatory Patient Group (EAPG) payment system.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: OK-23-0029
State: Oklahoma
Summary: Amendment to increase acute rates for freestanding psychiatric hospitals paid on a per diem and to restore the 15% rate reduction for Acute II facilities while also increasing the restored rate by 5%.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ND-23-0035
State: North Dakota
Summary: This amendment will end the Primary Care Case Management program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
Links:
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Transmittal Number: ND-23-0031
State: North Dakota
Summary: This amendment aligns the Alternative Benefit Plan for 19- 20-Year-Old Medicaid Expansion Members.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: ND-23-0025
State: North Dakota
Summary: The Amendment updates the Designee for State Plan submissions.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OK-23-0024
State: Oklahoma
Summary: The purposed amendment will increase the base rate for standard nursing facilities, nursing facilities serving patients with Acquired Immune Deficiency Syndrome (AIDS), and standard private and specialized private intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT