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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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Transmittal Number: OR-11-007
State: Oregon
Summary: This SPA was submitted to reflect specified provider rate reductions as required based upon Oregon's 2011-13 legislatively approved budget.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: OR-10-20
State: Oregon
Summary: Technical correction to reflect the current payment method for health services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: OR-08-13 C
State: Oregon
Summary: Changes the reimbursement methodology for children with high-risk diagnosis Targeted Case Management services from a monthly state-wide rate to a per-contact-per individual-per day methodology.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: OR-08-15
State: Oregon
Summary: This amendment sunsets the existing reimbursement methodology of paying for Targeted Case Management Services provided to substance abusing parents with young children based on a monthly rate.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: OR-10-03
State: Oregon
Summary: Implements an increase to the resource standards for QMBs, SLMBs and QIs to conform to the resources limits for individuals who qualify for Medicare Part D Low-Income Subsidy.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: OR-09-17
State: Oregon
Summary: Increases payments to hospitals reimbursed under the State's Diagnostic-Related Group reimbursement method.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: OR-08-11
State: Oregon
Summary: Revises the reimbursement methodology for the Early Intervention/Early Childhood Special Education School Targeted Case Management program.
Approval Date:
Effective Date:
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  • Financing & Reimbursement
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Transmittal Number: OR-08-10 R
State: Oregon
Summary: Revises the reimbursement methods for the Developmental Disabilities program.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: OR-09-15
State: Oregon
Summary: Updates the State Plan by limiting the administrative.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: OR-09-14
State: Oregon
Summary: Revised to exempt from copayment all Nicotine Replacement therapy products.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Prescription Drugs
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT