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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 591 to 600 of 606 results
Transmittal Number: NM-10-03
State: New Mexico
Summary: Implements Provisions of Medicare Improvements for Patients and Providers of 2008.
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Transmittal Number: NM-10-001
State: New Mexico
Summary: Pharmacy Reimbursement.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NM-10-007
State: New Mexico
Summary: Conforming to MMA requirements for outpatient prescription drug coverage.
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  • Prescription Drugs
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Transmittal Number: NM-10-06
State: New Mexico
Summary: Exempts Medicare Cost-Sharing Benefits Under Medicare Savings Program from Recovery.
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Transmittal Number: MA-10-001
State: Massachusetts
Summary: This amendment complies with Section 1 12 of Medicare Improvements for Patients and Providers Act (the "Act"), which amended section 1905(p)(l)(C) of the Act to make the resource limit for Qualified Medicare Beneficiaries (QMB), Specified Low-Income Medicare Beneficiaries (SLMB) and Qualified Individuals (QIs). conform to the resource limit for individuals who qualify for the full subsidy Medicare Part D low income subsidy.
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  • Eligibility
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Transmittal Number: NM-10-05
State: New Mexico
Summary: Establishes Disregard of Federal and State Tax Refunds and Credits from Income.
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Transmittal Number: MA-09-010
State: Massachusetts
Summary: This amendment revised the reimbursement methodology for prescribed drugs.
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  • Financing & Reimbursement
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Transmittal Number: NM-09-002
State: New Mexico
Summary: To implement the required Asset Verification System for the purpose of determining eligibility for aged, blind and disabled Medicaid applicants and recipients in accordance with 1940 of the Social Security Act.
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  • Eligibility
  • Program Administration
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Transmittal Number: NM-09-08 T
State: New Mexico
Summary: To comply with the requirement of section 1903 (v)(4)(A) of the Social Security Act, this State Plan Amendment covers pregnant women and children under the age of 21 who are lawfully residing in the United States.
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Transmittal Number: MA-09-009
State: Massachusetts
Summary: This amendment implements the new option created by section 214 of the Children's Health Insurance Program Reauthorization Act of 2009 that permits States to extend federally-funded health insurance coverage to certain special status immigrant pregnant women and children.
Approval Date:
Effective Date:
Topics:
  • Eligibility
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