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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 451 to 460 of 507 results
Transmittal Number: NJ-11-09
State: New Jersey
Summary: Adds Tobacco cessation services for pregnant women.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Health Services Initiatives
Links:
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Transmittal Number: VA-11-12
State: Virginia
Summary: A change to the Code of Virginia which requires providers who have received notices of termination of their provider enrollment and who wish to file an appeal of this action, to notify DMAS within 15 days of their intention to appeal.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NJ-11-10
State: New Jersey
Summary: Removes the prohibition on receiving curative treatment upon the election of the hospice benefit.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: VA-11-14
State: Virginia
Summary: To include Medicaid coverage for comprehensive tobacco cessation services for pregnant women.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: VA-11-07 I
State: Virginia
Summary: Institutional Reimbursement Changes.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: VA-11-11
State: Virginia
Summary: Implements regulations for provider preventable conditions and related payment adjustments for Medicaid.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: VA-11-09
State: Virginia
Summary: Decreases the estimated acquisition cost from average wholesale price minus 10.25 percent to AWP minus 13.1 percent for dates of service beginning on July 1, 2011.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Prescription Drugs
Links:
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Transmittal Number: NJ-11-07 I
State: New Jersey
Summary: Implements Changes To The Medicaid Managed Care Program.
Approval Date:
Effective Date:
Topics:
Links:
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Transmittal Number: VA-11-03
State: Virginia
Summary: Adds coverage of the optional family planning group with limited covered services.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: VA-11-04
State: Virginia
Summary: Implement the mandate that children must be permitted to continue to receive curative medical services even if they also elect to receive hospice services.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT