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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 421 to 430 of 579 results
Transmittal Number: ME-14-009
State: Maine
Summary: Updates Codes in flamily planning services, Physician services, Durable Medical Equipment and adding reimbursement methodology.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: ME-14-002
State: Maine
Summary: This SPA is to amend the State's approved Title XIX State Plan to add coverage of the digital hearing aid and related codes as well as allowable hearing devices. This SPA limits hearing aid providers to purchase digital hearing aids only from the designated Hearing Aid Procurement Prograrn. This SPA also adds several Speech Services procedure codes, as necessitated by a change in coding standards.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
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Transmittal Number: ME-14-011
State: Maine
Summary: Adds new procedure codes to the list of reimbursable services as part of the Dental Services and the Other Licensed Provider sections and to remove several procedurecodes as MaineCare reimbursable services.
Approval Date:
Effective Date:
Topics:
  • Dental
  • Program Administration
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Transmittal Number: ME-14-0016-MM1
State: Maine
Summary: Corrects the description of other relatives as it appears on State Plan S25 (Parents and Other Caretaker Relatives).
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: OR-11-06
State: Oregon
Summary: Requires states that currently offer services in a freestanding birthing center, to add this as a mandatory Medicaid services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
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Transmittal Number: OR-14-03
State: Oregon
Summary: This SPA increases the personal needs allowance for the aged, blind and disabled population from $30 to $60 for individuals and from $60 to $120 for couples as authorized by the state legislature.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: OR-14-04
State: Oregon
Summary: This amendment corrects and reduces duplicative licensing requirements for behavioral health providers.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: OR-14-05
State: Oregon
Summary: Modifies the rate methodology for the Programs for the All-Inclusive Care of the Elderly (PACE) aligning payment with the Oregon Health Authority's (OHA) performance-based reimbursements.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: ME-13-036
State: Maine
Summary: Increases the supplemental payment pool and for non-critical access hospitals, hospitals reclassified to a wage area outside Marine and rehabilitation hospitals from $51,847,216 to $65,321,301.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: ME-14-010
State: Maine
Summary: The purpose of this SPA is to amend the Accountable Communities section of the State's approved Title XIX State Plan to remove the requirement that providers execute a MaineCare Provider Agreement to be a Lead Entity.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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