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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 121 to 130 of 544 results
Transmittal Number: NJ-22-0019
State: New Jersey
Summary: This amendment was submitted in order to update the Private Duty Nursing rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NJ-22-0018
State: New Jersey
Summary: Updates the Behavioral Health Service rates
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NJ-22-0017
State: New Jersey
Summary: This amendment was submitted in order to update the Personal Care Assistance (PCA) rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: SC-22-0009
State: South Carolina
Summary: Implements a rate increase for Children's Personal Care, Enhanced Nursing, Registered Nurse (RN) and Licensed Practical Nurse (LPN).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: SC-22-0010
State: South Carolina
Summary: Implements an alternative fee schedule for specific Rehabilitative Behavioral Health Services provided in schools.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: SC-22-0007
State: South Carolina
Summary: reimburse teaching physician providers under the Average Commercial Rate method under the Supplemental Teaching Physician (STP) Payment Program.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: SC-22-0003
State: South Carolina
Summary: increases South Carolina Psychiatric Residential Treatment Facility (PRTF) facility rates to $500 per patient day (PPD).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NJ-22-0011
State: New Jersey
Summary: updates the nurse midwife rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NJ-22-0009
State: New Jersey
Summary: This amendment adds assurances that the state covers and reimburses COVID-19 vaccine administration, testing, and treatment as required under section 9811 of the American Rescue Plan Act of 2021.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: SC-22-0005
State: South Carolina
Summary: This SPA was submitted to provide routine coverage of routine patient cost associated with participation in qualifying clinical trials and to comply with Div. CC, Title II, Section 210 of the Consolidated Appropriations Act, 2021 (P.L.116-260).
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT