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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 341 to 350 of 412 results
Transmittal Number: SC-11-025
State: South Carolina
Summary: This amendment proposes to revise the payment methodology for Nursing Facility Care services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: SC-11-017
State: South Carolina
Summary: This SPA proposes to change the Medicaid reimbursement for covered outpatient prescriptions to average wholesale price (AWP) minus 16 percent and the dispensing fee to $3.00 in the Prescribed Drug section of the State plan to be consistent with the same reimbursement methodology and dispensing fee recently approved under South Carolina Frontis SPA 11-011.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: SC-11-023
State: South Carolina
Summary: SPA Tabacco Cessation policy for Pregnant Women.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: HI-11-007
State: Hawaii
Summary: This SPA proposes amendments to Hawaii's approved Title XIX State Plan to eliminate certain optional services for Hawaii's QUEST beneficiaries, as well as to impose an inpatient service limitation on this population.
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Transmittal Number: SC-11-013
State: South Carolina
Summary: Outpatient hospital payment reductions effective July 11, 2011.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: SC-11-011
State: South Carolina
Summary: Provider service rate reductions.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: SC-11-014
State: South Carolina
Summary: This amendment proposes to revise the inpatient hospital payment methodologies.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: SC-11-015
State: South Carolina
Summary: Adjust co-payments.
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Effective Date:
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Transmittal Number: SC-11-016
State: South Carolina
Summary: The Patient Protection and Affordable Care Act (P.L 111-148) as Amended by the Health Care and Education Act of 2010 (P.L 11-152), Title II, Subtitle D, Section 2301 established care provided in free-standing birth centers as a mandatory Medical Service.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: SC-11-019
State: South Carolina
Summary: Limiting patient discharges from hospitals to nursing facility within a 50 mile radius only will be eliminated.
Approval Date:
Effective Date:
Topics:
  • Eligibility
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