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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 141 to 150 of 311 results
Transmittal Number: SC-12-026
State: South Carolina
Summary: This is for elimination of retrospective cost settlements and establish prospective payment rates effective October 1, 2012 for Mental Health Clinic services, Special Needs Transportation services, Family/Early Intervention services, and Preventive Services for Primary Care Enhancement services.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: SC-18-0006
State: South Carolina
Summary: This state plan modifies the frequency of the third party liability (TPL) health recovery cycle from quarterly to monthly.
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: SC-18-0001
State: South Carolina
Summary: This SPA provides for the following: adding one private nursing facility to receive a supplemental payment to cover the cost of a mandatory evacuation of patient due to a hurricane; add coverage of Non-Emergence Medical Transportation (NEMT) to nursing facility services; provide an add-on to the per diem rate to pay for the NEMT services; and eliminate the occupancy required for replacement facilities for the first six months of operations.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: SC-12-008
State: South Carolina
Summary: The purpose of this plan was to comply with 42 CFR 441.18(a)(8) which requires states to submit a separate SPA for each Targeted Case Management (TCM) group when the TCM services differ in terms of provider qualification, services, or methodology under which case management providers would be paid.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: SC-12-007
State: South Carolina
Summary: The purpose of this plan was to comply with 42 CFR 441.18(a)(8) which requires states to submit a separate SPA for each Targeted Case Management (TCM) group when the TCM services differ in terms of provider qualification, services, or methodology under which case management providers would be paid.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: SC-12-009
State: South Carolina
Summary: The purpose of this plan was to comply with 42 CFR 441.18(a)(8) which requires states to submit a separate SPA for each Targeted Case Management (TCM) group when the TCM services differ in terms of provider qualification, services, or methodology under which case management providers would be paid.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: SC-12-003
State: South Carolina
Summary: The purpose of this SPA was to comply with 42 CFR 441.18(a)(8) which requires states to submit a separate SPA for each Targeted Case Management (TCM) group when the TCM services differ in terms of provider qualification, services, or methodology under which case management providers would be paid.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: SC-12-002
State: South Carolina
Summary: The purpose of this SPA was to comply with 42 CFR 441.18(a)(8) which requires states to submit a separate SPA for each Targeted Case Management (TCM) group when the TCM services differ in terms of provider qualification, services, or methodology under which case management providers would be paid.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: SC-12-006
State: South Carolina
Summary: The purpose of this plan was to comply with 42 CFR 441.18(a)(8) which requires states to submit a separate SPA for each Targeted Case Management (TCM) group when the TCM services differ in terms of provider qualification, services, or methodology under which case management providers would be paid.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: SC-12-005
State: South Carolina
Summary: The purpose of this plan was to comply with 42 CFR 441.18(a)(8) which requires states to submit a separate SPA for each Targeted Case Management (TCM) group when the TCM services differ in terms of provider qualification, services, or methodology under which case management providers would be paid.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT