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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.

Results

Displaying 461 - 470 of 15693

Connecticut

This plan amendment updates procedure codes and fee schedules while also adding reimbursement for donated human breast milk to eligible infants.

Approval Date: November 19, 2024
Effective Date: April 1, 2024

Connecticut

This plan amendment establishes a bundled payment methodology for maternity services.

Approval Date: November 19, 2024
Effective Date: January 1, 2025

Mississippi

This amendment allows Mississippi to enter into value-based contracts with manufacturers on a voluntary basis.

Approval Date: November 19, 2024
Effective Date: July 1, 2024
Topics: Value Based Purchasing

Connecticut

This plan amendment increases the rates for long-acting reversible contraceptive (LARC) devices.

Approval Date: November 19, 2024
Effective Date: May 1, 2024

Oklahoma

This amendment is to streamline behavioral health workforce credentialing and modifies qualifications for Case Managers I and II.

Approval Date: November 19, 2024
Effective Date: September 1, 2024

Mississippi

This amendment allows Mississippi to cover prescribed drugs that are not covered outpatient drugs (including drugs authorized for import by the Food and Drug Administration) when medically necessary during drug shortages.

Approval Date: November 19, 2024
Effective Date: October 1, 2024

Oklahoma

This amendment allows Oklahoma to cover prescribed drugs that are not covered outpatient drugs (including drugs authorized for import by the Food and Drug Administration) when medically necessary during drug shortages.

Approval Date: November 19, 2024
Effective Date: August 1, 2024

Minnesota

This SPA increases the states professional dispensing fee to $11.55 per prescription.

Approval Date: November 18, 2024
Effective Date: October 1, 2024
Topics: Professional Dispensing Fee

Missouri

This SPA adds language to the State Plan page attesting that the state is in compliance with the Federal Upper Limit (FUL) requirements for multiple source drugs.

Approval Date: November 18, 2024
Effective Date: August 1, 2024

Hawaii

This amendment is to memorialize its new state supplement eligibility standards.

Approval Date: November 15, 2024
Effective Date: October 1, 2024
Topics: Eligibility Medicaid and CHIP Program (MACPro)