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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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Transmittal Number: AL-10-008
State: Alabama
Summary: This SPA proposes to add to the definition of Alabama estimated acquisition cost.
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Transmittal Number: OH-08-011
State: Ohio
Summary: Rehabilitative services provided by community mental health facilities and rehabilitation services provided by alcohol and other drug treatment programs.
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Transmittal Number: AL-09-005
State: Alabama
Summary: This SPA revise the state's plan to reimburse public providers' cost for inpatient hospital services using certified public expenditure (CPE) as the non-federal share of payments.
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  • Financing & Reimbursement
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Transmittal Number: AL-05-009
State: Alabama
Summary: This SPA proposes to revise the state's reimbursement methodology to pay disproportionate share hospital payment.
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  • Financing & Reimbursement
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Transmittal Number: OH-09-034
State: Ohio
Summary: To implement hospital outpatient rate increases and to update the State Plan with technical corrections to outdated language.
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  • Financing & Reimbursement
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Transmittal Number: OH-09-033
State: Ohio
Summary: Supplemental outpatient hospital upper limit payments for private, public non state - owned and public state -owned hospitals.
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  • Financing & Reimbursement
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Transmittal Number: AL-10-010
State: Alabama
Summary: Expands the Personal Choices Program by adding Mobile, Escambia, and Baldwin counties as additional coverage areas within the State of Alabama.
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  • Program Administration
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Transmittal Number: AL-10-009
State: Alabama
Summary: Allows Establishment of Reimbursement Through Use of Electronic Benefit Transfer System.
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Transmittal Number: OH-09-023
State: Ohio
Summary: Managed care pharmacy carve-out.
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Transmittal Number: OH-10-005
State: Ohio
Summary: This amendment serves to implement Section 19002(a)(10)(A) of the Social Security Act (the Act), including continuous eligibility under Section 1902(e)(12) and presumptive eligibility for children under Section 1920A of the Act . Ohio is a Medicaid expansion state under Title XXI; this is a companion state plan submission to our Title XXI state plan amendment, SCHIP #5.
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  • Eligibility
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