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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 491 to 500 of 542 results
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:
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Transmittal Number: VA-11-06
State: Virginia
Summary: Incorporating freestanding birthing centers.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: AZ-11-008
State: Arizona
Summary: Clarifies the non-physician behavioral health providers listed under Other Licensed Practitioners in the State Plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: AZ-11-005
State: Arizona
Summary: Restores medically necessary transplant services to Arizona Health Care Cost Containment system members meeting nationally-recognized criteria for certain non-experimental, non-investigational organ and tissue transplants that previously had been eliminated effective October 1, 2010.
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Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Program Administration
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Transmittal Number: VA-10-12
State: Virginia
Summary: Implements changes to its payment methodolooooooooy for durable medical equipment and supplies.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: AZ-11-001A
State: Arizona
Summary: Updates the amounts of Of Arizona s graduate medical education and indirect medical education payment pools andAnd designates the qualifying teaching hospitals for each payment pool for the fiscal period of July 1, 2010 to June 30, 2011.
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Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: VA-11-02 T
State: Virginia
Summary: The State expanded its definition of those qualifying under this provision in July 2010, conforming to the July 1, 2010 CMS guidance.
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Topics:
  • Program Administration
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Transmittal Number: VA-10-15
State: Virginia
Summary: Institutional Provider Reimbursement Changes.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: VA-11-01
State: Virginia
Summary: Prohibition on Payments Outside of the United States.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: AZ-11-004
State: Arizona
Summary: Provides assurance of Arizona s participation in the Public Assistance Reporting Information System (PARIS).
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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