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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 171 to 180 of 361 results
Transmittal Number: SD-17-003
State: South Dakota
Summary: This amendment changes personal care services limitations to a maximum of 500 hours annually and revises prior authorization requirements.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: SD-17-005
State: South Dakota
Summary: This amendment updates the outpatient hospital reimbursement.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: SD-17-002
State: South Dakota
Summary: This amendment updates the list of divisions in the South Dakota Department of Human Services and updates the list of cooperative agreements between the Department of Social Services and the state's health and vocational rehabilitation agencies.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: ID-17-0003
State: Idaho
Summary: This transmittal aligns the Idaho SPA in accordance with the actual acquisition cost (AAC) reimbursement requirements under the Covered Outpatient Drugs final rule.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: ID-17-0007
State: Idaho
Summary: This SPA provides for the verification of assets for the purposes of determining and redetermining Medicaid eligibility for aged, blind and disabled Medicaid applicants and recipients using an Asset Verification System (AVS).
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: ID-17-0006
State: Idaho
Summary: This SPA amends Idaho's Enhanced Alternative Benefit Plan (ABP) by adding endorsed/certified school psychologist as individuals who can provide supervision for Community-Based Rehabilitation Services (CBRS) providers.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: ID-17-0005
State: Idaho
Summary: This SPA amends Idaho's Basic Alternative Benefit Plan (ABP) by adding endorsed/certified school psychologist as individuals who can provide supervision for Community-Based Rehabilitation (CBRS) providers.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: ID-17-0002
State: Idaho
Summary: Updates the optional state supplement standards for special income level groups consistent with the published 2017 federal poverty levels.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: SD-16-008
State: South Dakota
Summary: Implements an asset verification system.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: ID-16-0010
State: Idaho
Summary: This SPA modifies Idaho's Medicare-Medicaid Coordinated Plan (MMCP) Alternative Benefit Plan (ABP) to reflect the MMCP's geographic service area reduction changes.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT