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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 241 to 250 of 545 results
Transmittal Number: VA-18-024
State: Virginia
Summary: Revises the amount of supplemental payments to physicians affiliated with Eastern Virginia Medical School.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: IL-18-0014
State: Illinois
Summary: Modifies Mental Health Professional Provider Qualifications
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: IL-12-023
State: Illinois
Summary: Updates co-payments
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
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Transmittal Number: IL-18-0017
State: Illinois
Summary: Modifies Provider Qualifications for Health Homes Clinical Care.
Approval Date:
Effective Date:
Topics:
  • Health Homes
Links:
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Transmittal Number: VA-18-0010
State: Virginia
Summary: Hospital Presumptive Eligibility.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: IL-18-0016
State: Illinois
Summary: Healthcare and Family Services (IHFS) will not implement a single preferred drug list. IHFS will remove references to single PDL from the Supplemental Rebate Agreement.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: VA-18-009
State: Virginia
Summary: Continuing supplemental payments to qualifying NSGO hospitals and state-owned nursing facilities, continuing supplemental payments to support residency slots at identified hospitals, and changes to DSH and IME reimbursement for Children's National Medical Center.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: VA-18-0015
State: Virginia
Summary: Revise the Virginia Medicaid paper and online application to include the changes resulting from Virginia's Medicaid expansion.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: VA-18-018
State: Virginia
Summary: Non-Institutional Provider Reimbursement Changes.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: VA-18-0011
State: Virginia
Summary: Administrative Change to a Determination State.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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