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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 61 to 70 of 524 results
Transmittal Number: MS-23-0016
State: Mississippi
Summary: All Patient Refined Diagnosis Related Groups.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: OR-23-0022
State: Oregon
Summary: This transmittal is being submitted to continue the ambulance treat in place rate approved in the Disaster relief SPA 20-0014 past the PHE period.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MS-23-0021
State: Mississippi
Summary: This SPA allows the Division of Medicaid (DOM) to increase the reimbursement rates for certain mental health services by 15.8% with half of the increase implemented in State Fiscal Year (SFY) 2024 and the second half of the increase implemented in SFY 2025. Rates are effective for services provided on or after July 1 for each year.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-23-0017
State: Mississippi
Summary: Allow the Division of Medicaid (DOM) to change the payment per resident.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MS-23-0027
State: Mississippi
Summary: This amendment is to extend its current waiver from seeking a RAC vendor approved in State Plan Amendment (SPA) 22-0024 for one (1) additional year to attempt to procure a new, competitively bid RAC contract that complies with current state and federal laws and regulations.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-23-0025
State: Oregon
Summary: This amendment is to add additional providers into the other licensed providers section of the state plan.
Approval Date:
Effective Date:
Topics:
  • Other Licensed Practitioners
Links:
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Transmittal Number: MS-23-0018
State: Mississippi
Summary: This amendment is to renew Mississippi’s 1915(i) State Plan HCBS benefit. 
Approval Date:
Effective Date:
Topics:
  • Home and community based services
  • Benefits
  • Targeted Case Management
  • Reimbursement
Links:
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Transmittal Number: OR-23-0023
State: Oregon
Summary: This SPA changed the telehealth rates used during the COVID-19 Public Health Emergency (PHE) to rates based on Relative Value Units (RVUs) multiplied by the Oregon conversion factor.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MS-23-0013
State: Mississippi
Summary: This amendment proposes to allow the state to add coverage for selected drugs that treat obesity
Approval Date:
Effective Date:
Topics:
  • Prescribed Drugs
Links:
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Transmittal Number: OR-23-0024
State: Oregon
Summary: This SPA has been submitted to allow the state to enter outcome-based agreements with manufactures on a voluntary basis.
Approval Date:
Effective Date:
Topics:
  • Value Based Purchasing
  • Prescribed Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT