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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 91 to 100 of 785 results
Transmittal Number: LA-23-0012
State: Louisiana
Summary: This SPA is to amend the provisions governing behavioral health rehabilitation services in order to remove the face-to-face requirement for Community Psychiatrics Support and Treatment (CPST) and to add permanent supportive housing agencies to the provider qualifications for Peer Support Services (PSS).
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: VA-23-0010
State: Virginia
Summary: This plan amendment updates the average commercial rate calculation of supplemental payments for physicians affiliated with Type One Hospitals in Virginia.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: VA-23-0006
State: Virginia
Summary: This SPA proposes to update coverage for selective non legend drugs and remove language related to home infusion therapy from the Pharmacy State Plan pages.
Approval Date:
Effective Date:
Topics:
  • Prescribed Drugs
Links:
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Transmittal Number: VA-23-0004
State: Virginia
Summary: To disregard certain resources for various eligibility groups covered under the state plan.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: VA-23-0002
State: Virginia
Summary: To update sections of the state plan that pertain to the Program of All-Inclusive Care for the Elderly.
Approval Date:
Effective Date:
Topics:
  • Quality of Care
Links:
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Transmittal Number: LA-23-0015
State: Louisiana
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to waive the signature requirement for pharmacy.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Prescription Drugs
Links:
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Transmittal Number: VA-22-0018
State: Virginia
Summary: This plan amendment updates numerous non-institutional provider reimbursement methodologies.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: LA-22-0036
State: Louisiana
Summary: The purpose of this SPA is to allow reimbursement, outside of the inpatient hospital per diem, for genetic testing of critically ill infants.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: VA-23-0005
State: Virginia
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to waive any signature requirements for the dispensing of drugs during the public health emergency (PHE) from March 13, 2020 through June 30, 2021.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
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Transmittal Number: LA-22-0037
State: Louisiana
Summary: The purpose of this SPA is to amend the provisions governing reimbursement for personal care services (PCS) provided to beneficiaries in the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program in order to remove outdated language regarding a wage enhancement that is not applicable to the current EPSDT-PCS program.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT