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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 151 to 160 of 341 results
Transmittal Number: PR-20-0009
State: Puerto Rico
Summary: This amendment allows Puerto Rico to comply with federal regulation 42 CFR Part 455, Subpart E
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-20-0015
State: Oregon
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to allow retainer payments for certain services in 1915(k) state plan benefits.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-20-0014
State: Oregon
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to temporary increase rates for Ambulance ‘treat in place’ services during the public health emergency.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-19-0004
State: Oregon
Summary: Revises the alternative paper application to align with the state’s online eligibility system
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: PR-20-0008
State: Puerto Rico
Summary: Allows Puerto Rico to cover MAVYRET, a Hepatitis C drug, through their fee-forservice

(FFS) program
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Prescribed Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-20-0013
State: Oregon
Summary: This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to add provider types and make payment rate changes for certain home and community based services.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Financing & Reimbursement
  • Long-Term Services & Support
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PR-20-0003
State: Puerto Rico
Summary: Establishes the basic administration of the medicaid program and the legal authority of the state to submit and administer the state plan
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: OR-20-0012
State: Oregon
Summary: Amends the current Targeted Case Management State Plan Amendment for Public Health Nurse Home Visiting to include 9 additional counties
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OR-20-0010
State: Oregon
Summary: This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to designate Contracted Community Partner organizations as qualified entities to make presumptive eligibility determinations; consider individuals evacuated from the state due to the emergency to continue to be residents; allow flexibility for mobile testing for COVID-19; and waive medication supply limits when appropriate to reduce exposure risk. In addition, this amendment will allow for changes in reimbursement policies and adjustment of payment rates for certain services and providers.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
  • Financing & Reimbursement
  • Benefits
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PR-20-0007
State: Puerto Rico
Summary: This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to disregard unemployment compensation benefits funded by the territory for the non-MAGI population
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT