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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 301 to 310 of 517 results
Transmittal Number: OR-16-0012
State: Oregon
Summary: To expand the period of time available for Targeted Case Management (TCM) activities to include pregnancy.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
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Transmittal Number: OR-10-01
State: Oregon
Summary: Revises the reimbursement methods for the Targeted Case Management program for Self Sufficiency.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: VA-16-015
State: Virginia
Summary: This SPA proposes to establish a reconsideration process by which appellants can petition the Virginia Medicaid Agency's Director to reconsider the Department of Medical Assistance Services' (DMAS) Final Agency Decision. The SPA indicates that the DMAS Director's review shall be made upon the case record of the formal appeal. Testimony or documentary submissions that were not part of the formal appeal case record prior to the issuance of the Final Agency Decision shall not be considered.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: OR-16-0010
State: Oregon
Summary: Removes copayments and updates the description of preventive services coverage as it was last dated in 2009.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
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Transmittal Number: OR-16-0007
State: Oregon
Summary: This SPA renews Oregon's 1915(i) State Plan Home and Community-Based Services (HCBS) benefit for individuals with chronic mental illness.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: OR-16-0009
State: Oregon
Summary: Defines optometrists as "physicians" in the state of Oregon for Medicaid billing and services, which makes them eligible providers for the Electronic Health Record (EHR) Incentive Program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OR-16-0008
State: Oregon
Summary: Removes language referring to the "live-in" program and "24-hour availability" of homecare workers and personal support workers as well as other technical revisions to align with program changes enacted to address requirements of the Federal Department of Labor regulations.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: VA-16-010
State: Virginia
Summary: Updates the general language and provider qualifications including requirements that all providers be certified by Virginia's Department of Behavioral Health and Developmental Services (DBHDS) as an intellectual disability case management agency.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: OR-16-0011
State: Oregon
Summary: This SPA reflects the types of managed care risk contracts that apply to Oregon's Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: VA-16-006
State: Virginia
Summary: Adds requirements for accepting, managing, and completing requests for community-based and nursing facilities and using the electronic Preadmission Screening System.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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