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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 301 to 310 of 476 results
Transmittal Number: SC-14-012
State: South Carolina
Summary: This SPA revises the State's reimbursement methodology for setting payment rates for Psychiatric Residential Treatment Facilities (PRTFs).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: DC-15-008
State: District of Columbia
Summary: This amendment will enable the District to amend the methodology for establishing the penalty period for asset transfers by individuals receiving Medicaid-reimbursable intuitional care in nursing facilities.
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Transmittal Number: SC-15-009
State: South Carolina
Summary: This SPA is to limit allowable pre-eligibility medical expenses applied to reduce recurring income for long term care services to expenses incurred in the three months prior to the month of the Medicaid application.
Approval Date:
Effective Date:
Topics:
  • Eligibility
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Transmittal Number: SC-15-008
State: South Carolina
Summary: Modifies the State's reimbursement methodology for setting payment rates for nursing facility services.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: SC-15-014
State: South Carolina
Summary: Extends the sunset date to March 31, 2016 for the Supplemental Teaching Payment reimbursement methodology.
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  • Financing & Reimbursement
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Transmittal Number: DC-15-0006
State: District of Columbia
Summary: This amendment will enable the District's Medicaid Program to clarify coverage limitations for providers delivering other laboratory and x-ray services.
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  • Benefits
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Transmittal Number: SC-13-004
State: South Carolina
Summary: Adds substance abuse outpatient and residential treatment services for adults and children to the South Carolina rehabilitative services benefit and proposes bundled rates for these services.
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  • Benefits
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Transmittal Number: DC-14-006
State: District of Columbia
Summary: Nonpublic schools reimbursement methodology for School Based Health Services.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: DC-15-005
State: District of Columbia
Summary: Implements Health Homes as authorized under Section 2703 of the Patient Protection and Affordable Care Act.
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Topics:
  • Benefits
  • Program Administration
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Transmittal Number: DC-14-009
State: District of Columbia
Summary: Payments to Outpatient Hospital for Medical Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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