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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 458 results
Transmittal Number: AZ-15-003
State: Arizona
Summary: Revises the State Plan to reflect updates to the orthotic benefit.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: AZ-15-001
State: Arizona
Summary: To include supplemental drug rebates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Prescription Drugs
  • Program Administration
Links:
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Transmittal Number: AZ-14-013C
State: Arizona
Summary: Updates reimbursement rates for other providers the period October 1, 2014 to September 30, 2015.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: AZ-14-013D
State: Arizona
Summary: Increases nursing facility rates by two-percent for the period of October 1, 2014 to September 30, 2015.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: AZ-14-013B
State: Arizona
Summary: This amendment extends an outpatient hospital reimbursement rate reduction effective for claims with dates of service through September 30, 2015.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: AZ-15-002
State: Arizona
Summary: Updates the amounts of nursing facility Supplemental payments funded by an AZ nursing facility assessment.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: AZ-14-013A
State: Arizona
Summary: This SPA increases the rates for freestanding psychiatric hospitals effective October 1, 2014.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: SD-11-001
State: South Dakota
Summary: The State shall not provide any payments for items or services provided under the State plan or under a waiver to any financial institution or entity located outside of the United States.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: SD-14-007
State: South Dakota
Summary: This amendment removes obsolete language pertaining to supplemental payments for Intermediate Care Facilities for Individuals with intellectual disabilities fewer than 16 beds.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AZ-14-004
State: Arizona
Summary: This SPA expands the physical therapy benefit for individuals over age 21 by adding a separate set of 15 visits per contract year to attain or maintain a skill or function, for a total of 30 physical therapy visits per contract year.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT