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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.

Results

Displaying 10911 - 10920 of 15838

Oklahoma
This amendment allows for additional PACE providers and clarifies the development of the capitated rate for PACE.
Approval Date: July 9, 2014
Effective Date: July 1, 2014
Topics: Financing & Reimbursement

Louisiana
The SPA proposes to amend the provisions governing outpatient hospital services to remove the visit limits on emergency room services.
Approval Date: July 9, 2014
Effective Date: June 1, 2014

New Hampshire
Updates Presumptive Eligibility by Hospitals.
Approval Date: July 9, 2014
Effective Date: January 1, 2014

South Carolina
This SPA add reimbursement language to following services: Other Laboratory and X-ray services; Early and Periodic Screening, Diagnosis and Treatment Screening Services (EPSDT), Family Planning Services, Supplies and Preventive Services.
Approval Date: July 9, 2014
Effective Date: October 1, 2011
Topics: Financing & Reimbursement

Montana
Implements the Addition of Community First Choice Services as a Medicaid Funded Service Option.
Approval Date: July 8, 2014
Effective Date: October 1, 2013

Utah
This amendment extends the payment provision for nursing facility quality improvement incentive payments.
Approval Date: July 8, 2014
Effective Date: July 1, 2014
Topics: Financing & Reimbursement

Wisconsin
Eligibility Irrevocable Burial Trusts.
Approval Date: July 7, 2014
Effective Date: October 1, 2013

New York
This SPA describes the methodology used by the state for determining the appropriate FMAP rates, including the increased FMAP rates, available under the provisions of the Affordable Care Act applicable for the medical assistance expenditures under the Medicaid program associated with enrollees in the new adult group adopted by the state and described in 42 CPR 435.119.
Approval Date: July 2, 2014
Effective Date: January 1, 2014
Topics: Financing & Reimbursement

Maryland
Includes Service and Reimbursement for Urgent Care Centers.
Approval Date: July 2, 2014
Effective Date: April 1, 2013
Topics: Program Administration

Colorado
Adds an MCO payment reform pilot program to the current PCCM structure of the ACC.
Approval Date: July 2, 2014
Effective Date: July 1, 2012
Topics: Financing & Reimbursement