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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 281 to 290 of 507 results
Transmittal Number: VA-17-019
State: Virginia
Summary: The purpose of SPA 17-019 is to implement peer support services for children and adults who have mental health conditions and/or substance use disorders.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NJ-17-0006
State: New Jersey
Summary: This amendment extends and implements revisions to the Charity Care program for the State fiscal year 2018.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NJ-17-0004
State: New Jersey
Summary: This amendment increases nursing home Medicaid per diem rates by $5.98 million over SFY 2017 rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: VA-17-009
State: Virginia
Summary: To add text to the State Plan regarding reimbursement practices for community mental health services and to reflect the inclusion of updated dental procedure codes in the agency's fee schedule.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NJ-16-0006
State: New Jersey
Summary: This amendment will maintain reimbursement rates at their present level for one year.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NJ-17-0010
State: New Jersey
Summary: This SPA increases the weekday and weekend hourly rates for personal care assistants from $18 per hour to $19 per hour.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NJ-17-0009
State: New Jersey
Summary: The SPA reflects the increased case management organizations monthly rate that was approved as part of NJ's State Fiscal Year 2018 Appropriations Act.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: VA-17-015
State: Virginia
Summary: Removes the 26-visit limit from outpatient psychiatric services from the State Plan in accordance with the mental health parity provision.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: VA-17-011
State: Virginia
Summary: To include the terms upon which the state will collect supplemental rebates from drug manufacturers on those drugs dispensed to Medicaid Managed Care Organizations (MCO) enrollees.
Approval Date:
Effective Date:
Topics:
  • Managed Care
  • Program Administration
Links:
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Transmittal Number: VA-17-014
State: Virginia
Summary: This SPA will allow Virginia to add the new annuity requirement that annuities purchased before February 8, 2006, but modified after that date would be subject to all requirements applicable to annuities purchased after February 8, 2006.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT