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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 71 to 80 of 524 results
Transmittal Number: OR-23-0019
State: Oregon
Summary: To increase the rate for NEMT mileage, meals, and lodging and base them on a percentage of the IRS standard rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: OR-23-0017
State: Oregon
Summary: To continue the 1915(k) rate model approved in the Disaster relief SPA 22-0022 past the PHE period.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MS-23-0011
State: Mississippi
Summary: This amendment proposes to allow the Division of Medicaid (DOM) to remove copays from Medicaid services.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
  • Coverage
Links:
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Transmittal Number: OR-23-0015
State: Oregon
Summary: This amendment is to add Certified Indian Health Service Community Health Aide Program providers into the other licensed providers section of the state plan.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
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Transmittal Number: OR-23-0021
State: Oregon
Summary: This transmittal is being submitted to continue the APM provisions approved in the Disaster relief SPA 23-0001 past the PHE period.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MS-23-0010
State: Mississippi
Summary: Allows the Division of Medicaid (DOM) to continue the same PDN rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MS-23-0019
State: Mississippi
Summary: This plan amendment was submitted to allow the Division of Medicaid (DOM) to continue the fifteen percent (15%) increase for Prescribed Pediatric Extended Care (PPEC) facilities that were made effective October 1, 2022 beyond the end of the federal Public Health Emergency.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MS-23-0009
State: Mississippi
Summary: This amendment proposes to allow the Division of Medicaid (DOM) to revise the education and experience requirements for Early Intervention case managers, effective April 1, 2023.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OR-23-0018
State: Oregon
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to extend, without, without modifications, the 5% rate increase to rates for nursing facilities, assisted living facilities, residential care facilities for a temporary period of 5/12/23 through 6/30/23.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: OR-23-0010
State: Oregon
Summary: This SPA is to adopt the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORD Act, Pub. L. No. 115-217, section 1002.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT