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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 241 to 250 of 631 results
Transmittal Number: MA-20-0021
State: Massachusetts
Summary: updated the payment rates for personal care attendants
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MA-20-0005
State: Massachusetts
Summary: Methods used to determine rates of payment for community health centers
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: ID-20-0002
State: Idaho
Summary: modifies the methodology in which nursing facilities (NFs) receive supplemental payment through their NF upper payment limit (UPL) supplemental payment program. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: ID-20-0016
State: Idaho
Summary: Adds coverage of Targeted Case Management for At Risk Children to the Enhanced Plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
  • Eligibility
Links:
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Transmittal Number: ID-20-0015
State: Idaho
Summary: Adds coverage of Targeted Case Management for At Risk Children to the Basic Plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
  • Eligibility
Links:
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Transmittal Number: MA-20-0018
State: Massachusetts
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to update payment Methodologies For Certain Long-Term Services and Support during the COVID-19 Emergency Period as well as expand the provider types that can order, certify and recertify member's home health care plans.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
  • Benefits
Links:
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Transmittal Number: MA-20-0012
State: Massachusetts
Summary: provides an emergency increase to the rates for home health services to implement chapter 142 of the act of 2019
Approval Date:
Effective Date:
Topics:
Links:
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Transmittal Number: MA-20-0013
State: Massachusetts
Summary: Updates methods used to determine rates of payment for acute inpatient hospital services
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: MA-20-0011
State: Massachusetts
Summary: Updates the Methods Used to Determine Rates of Payment for Acute Outpatient Hospital Services to Bill for Nasal Naloxone
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: ID-20-0009
State: Idaho
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to suspend copayments for all adult enrollees for all services, and make specific temporary changes to the home health benefit (supplies and equipment) and requirements for referrals from primary care.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Eligibility
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT