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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 371 to 380 of 542 results
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:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
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: VA-15-0021
State: Virginia
Summary: Amends MAGI-Based Eligibility Group Options for Coverage of Individuals Eligible for Family Planning S59 by Increasing Maximum Income Standard to 200% FPL.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: VA-14-021
State: Virginia
Summary: This SPA replaces the existing DRG classification system for inpatient hospital services with a more refined grouper that recognizes the differences in severity of illness - the 3M APR-DRG.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VA-14-06
State: Virginia
Summary: Type one physicians supplemental payments.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: VA-13-02
State: Virginia
Summary: Supplemental payments for services provided by type one physicians.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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:
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Transmittal Number: VA-14-015
State: Virginia
Summary: No Inflation Adjustment for Inpatient Hospital Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: VA-14-014
State: Virginia
Summary: Supplemental Payments to Non-State Government-Owned Nursing Facilities.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT