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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 331 to 340 of 488 results
Transmittal Number: NJ-14-0004
State: New Jersey
Summary: Updates the fee schedule for various non-institutional services and provides information on how to locate the fee schedules.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NJ-14-0009
State: New Jersey
Summary: Establishes a new pathway (Miller Trust) for medically needy categories to establish Medicaid eligibility.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NJ-14-03 T
State: New Jersey
Summary: Temporary Presumptive Eligibility.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: NJ-13-0025-MM4
State: New Jersey
Summary: Incorporates the Single State Agency SPA into New Jersey's Medicaid state plan in accordance with the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: IN-13-004-MM4
State: Indiana
Summary: Updates Single State Agency.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: IN-13-005
State: Indiana
Summary: This SPA extends a 5% reduction in Medicaid payments for Nursing Facility services and a 3% reduction in Medicaid payments for Intermediate Care Facilities for the Developmentally Disabled services. This SPA reduces the NF reduction at 3% and reduces the ICF/IID and CRF/DD reduction to 1%.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NJ-14-07
State: New Jersey
Summary: This SPA proposes to terminate mandatory enrollment into Managed Care because the managed care amendment was subsumed in NJ's 1115 waiver.
Approval Date:
Effective Date:
Topics:
  • Managed Care
  • Program Administration
Links:
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Transmittal Number: NJ-13-14
State: New Jersey
Summary: This State Plan Amendment updates the fee schedule for various non-institutional services and provides information on how to locate the fee schedule(s).
Approval Date:
Effective Date:
Topics:
Links:
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Transmittal Number: NJ-14-0002
State: New Jersey
Summary: Presumptive Eligibility by Hospitals.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: IN-13-013
State: Indiana
Summary: 1915(i) State Plan Home and Community-Based Services (HCBS), Behavioral and Primary Healthcare Coordination Services; and IN.02.001 - Amendment to 1915(b)(4) waiver, Adult Mental Health Habilitation and Behavioral and Primary Healthcare Coordination Services
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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