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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 517 results
Transmittal Number: OR-23-0028
State: Oregon
Summary: This transmittal is being submitted to modify the criteria for the Nursing Facility bariatric staffing standards.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: VA-23-0018
State: Virginia
Summary: This plan removes the provision that implemented fee adjustments for avoidable ER claims.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: OR-23-0037
State: Oregon
Summary: This Alternative Benefit Plan (ABP) amendment complies with Section 11405 of the Inflation Reduction Act (IRA) aligning the new mandatory coverage of Medicaid adult vaccinations for the expansion population under ABP5 benefits.
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
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Transmittal Number: VA-23-0014
State: Virginia
Summary: This amendment provides reimbursement for services provided by licensed pharmacists, and pharmacy interns and pharmacy technicians supervised by phamacists, who are acting within their scope of practice or in a collaborative agreement with a provider licensed in Virginia or are specified in Board of Pharmacy protocols for licensure that have been reviewed and accepted by the Department of Medical Assistance Services and are services covered by Medicaid.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
  • Reimbursement
  • Vaccine
Links:
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Transmittal Number: OR-23-0036
State: Oregon
Summary: This amendment complies with Section 11405 of the Inflation Reduction Act (IRA) adding new mandatory coverage of Medicaid adult vaccinations.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: OR-23-0034
State: Oregon
Summary: This amendment adds Certified Recove1y Mentors (CRM) under the 'Other Licensed Practitioner' into the Oregon state plan.
Approval Date:
Effective Date:
Topics:
  • Other Licensed Practitioners
Links:
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Transmittal Number: OR-23-0029
State: Oregon
Summary: This SPA increased the global reimbursement rate for free-standing birth centers.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: VA-23-0008
State: Virginia
Summary: Revises the state plan to add new targeted case management services for individuals who have severe brain injury.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
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Transmittal Number: OR-23-0031
State: Oregon
Summary: This SPA increased the reimbursement rates for Private Duty Nursing (PDN) services for medically fragile children.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: OR-23-0030
State: Oregon
Summary: This transmittal is being submitted to reflect a COLA increase to 1915 (k) plan services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT