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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 101 to 110 of 380 results
Transmittal Number: AL-20-0013
State: Alabama
Summary: Effective October 1, 2020, this amendment applies the reimbursement methodology for inpatient and outpatient hospital services for State fiscal year 2021. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: AL-20-0021
State: Alabama
Summary: Proposes to amend the value/outcomes based agreement template in order to further facilitate obtaining supplemental rebates
Approval Date:
Effective Date:
Topics:
  • Additional Rebate
Links:
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Transmittal Number: VT-20-0017
State: Vermont
Summary: This SPA permits licensed pharmacists to enroll in the Vermont Medicaid program, allowing coverage of COVID-19 diagnostic testing and specimen collection by licensed pharmacists to the extent permitted by state and federal law.
Approval Date:
Effective Date:
Topics:
  • Medicaid-Medicare Issues
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: AL-20-0016
State: Alabama
Summary: proposes to modify the current Personal Choices program to add Unskilled Respite Services for the State of Alabama Independent Living (SAIL) Waiver to the 1915(j) program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AL-20-0018-A
State: Alabama
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 rescind coverage of the optional COVID-19 testing for uninsured individuals which was approved by CMS on May 11, 2020 under AL DR SPA 20-0007.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
Links:
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Transmittal Number: VT-16-0025
State: Vermont
Summary: VT submitted this SPA to update the ABP for the new adult group in order to ensure alignment with the full Medicaid State Plan by referencing the new state plan section (G1 – G3) that describes cost-sharing requirements for Medicaid beneficiaries
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
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Transmittal Number: AL-20-0010
State: Alabama
Summary: Seeks an exception to 42 CFR §455.502(b), the Medicaid Recovery Audit Contractor (RAC) program
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: VT-20-0001
State: Vermont
Summary: Covers medication therapy management services when provided by an office-based clinical pharmacist operating under their scope of practice at a Federally Qualified Health Center or Rural Health Clinic
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: VT-20-0002
State: Vermont
Summary: Increases the monthly long-term care personal needs allowance by $25.00 per individual.
Approval Date:
Effective Date:
Topics:
  • Long-Term Services & Support
Links:
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Transmittal Number: VT-20-0011
State: Vermont
Summary: Eliminates the co-payments for preventive dental services
Approval Date:
Effective Date:
Topics:
  • Dental
  • Individual CoPayments or Insurance Payments
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT