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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 544 results
Transmittal Number: SC-11-027
State: South Carolina
Summary: This amendment proposes to revise the inpatient hospital reimbursement methodology for determining disproportionate share hospital payments.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: SC-11-026
State: South Carolina
Summary: This amendment proposes to revise the inpatient hospital reimbursement methodology for determining payment rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: SC-12-011
State: South Carolina
Summary: Medicaid recovery Audit Contractor Request for Exemption.
Approval Date:
Effective Date:
Topics:
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Transmittal Number: NE-12-08
State: Nebraska
Summary: The State is assuring compliance with provider screening and enrollment under Section 6401 of the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148.
Approval Date:
Effective Date:
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Links:
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Transmittal Number: SC-12-015
State: South Carolina
Summary: Medicaid/CHIP Provider Enrollment and Screening (new effective date due to delays).
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: NE-12-11
State: Nebraska
Summary: Payment for nursing facility leave days.
Approval Date:
Effective Date:
Topics:
  • Premiums
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Transmittal Number: NE-12-06
State: Nebraska
Summary: Requesting approval of their expansion of managed care statewide under the authority granted at Section 1932 (a) of the Social Security Act (The Act), removal of the exemption for TPL and Katie Beckett clients and clarifying elements of the enrollment process and to add non-emergency transportation to the list of MCO excluded services.
Approval Date:
Effective Date:
Topics:
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Transmittal Number: SC-12-010
State: South Carolina
Summary: Medicaid/CHIP Provider Enrollment and Screening.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: NE-12-03 M
State: Nebraska
Summary: Medicaid Recovery Audit Contract (RAC) Program.
Approval Date:
Effective Date:
Topics:
Links:
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Transmittal Number: NE-12-01
State: Nebraska
Summary: Payment for nursing facility leave days (Bedhold).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT