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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 551 to 560 of 652 results
Transmittal Number: AL-11-021
State: Alabama
Summary: This SPA proposes to revise the payment methodology for nursing facility services. Specifically, the amendment proposes to provide an enhance payment of $120 per day to qualified nursing facilities for ventilator dependent or qualified tracheostomy services.
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Transmittal Number: OH-12-008
State: Ohio
Summary: Implements provider screening and enrollment.
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Topics:
  • Program Administration
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Transmittal Number: OH-12-007
State: Ohio
Summary: Implements transition for case management service for certain Medicaid-eligible individuals receiving alcohol or substance abuse treatment service from rehab services to targeted case management services.
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Transmittal Number: OH-11-023
State: Ohio
Summary: ICF-MR reimbursement systems for SFYs 2012 and 2013, and modification of the per diem rate for SFY 2012 for the ICF-MR outlier provider Sunshine/King Road Family Care Home.
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  • Financing & Reimbursement
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Transmittal Number: OH-11-022
State: Ohio
Summary: Changes in nursing facility reimbursement for SFY 2012 and forward.
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  • Financing & Reimbursement
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Transmittal Number: OH-12-011
State: Ohio
Summary: Attachment 4.19-A: Removal of selected Ohio Administrative Code rules.
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Transmittal Number: OH-12-002
State: Ohio
Summary: Change to the Medicaid reimbursement methodology for hospital services covered by Medicare part B.
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  • Financing & Reimbursement
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Transmittal Number: OH-11-029
State: Ohio
Summary: Weekly benefit limits for certain rehabilitative services provided by alcohol and other drug treatment programs.
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  • Benefits
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Transmittal Number: OH-11-028
State: Ohio
Summary: Reimbursement methodology for rehabilitative services provided by alcohol and other drug treatment programs.
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  • Financing & Reimbursement
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Transmittal Number: AL-12-002
State: Alabama
Summary: Provides assurances that the State is in compliance with the screening and enrollment of providers.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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