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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 181 to 190 of 380 results
Transmittal Number: VT-16-005
State: Vermont
Summary: Clinical Laboratory Fee Schedule.
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Effective Date:
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Transmittal Number: VT-16-001
State: Vermont
Summary: Hospice Rates 2016.
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Transmittal Number: AL-15-0008
State: Alabama
Summary: This amendment proposes to make editorial and structural changes to the Supplemental Rebate Agreement.
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  • Financing & Reimbursement
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Transmittal Number: VT-15-001
State: Vermont
Summary: This SPA amended your Title XIX State plan to allow Licensed Behavior Analysts (BAs), Licensed Assistant Behavior Analysts (ABAs) and Behavior Technicians to provide services to treat autism spectrum disorder, and for BAs and ABAs to bill directly for these services.
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  • Benefits
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Transmittal Number: VT-15-029
State: Vermont
Summary: Updates Hospice Rates in Accordance with Medicare Rates that are Updated Annually and Adjusted for Medicaid.
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  • Cost Sharing
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Transmittal Number: VT-15-027
State: Vermont
Summary: This amendment implements the use of a certain revenue code to trigger the existing per diem add-on payment for inpatient hospital rehabilitation services due to the required upgrade to ICD-10.
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  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: VT-15-021
State: Vermont
Summary: Allows licensed alcohol and drug abuse counselors to provide and bill for behavioral health services within their scope of practice.
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  • Benefits
  • Program Administration
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Transmittal Number: AL-15-0010
State: Alabama
Summary: Continues to allow eligible primary care physicians that practice in family medicine, genral internal medicine or pediatric medicine to receive enhanced payments for certain specified procedure codes for evaluation and management services and certain Vaccines for Children vaccine administration codes.
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  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: VT-15-025
State: Vermont
Summary: Updates the Disproportionate Share Hospital payment methodology for state plan rate year 2016.
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  • Financing & Reimbursement
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Transmittal Number: VT-15-023
State: Vermont
Summary: To allow licensed dental hygienists to bill directly for services when working under a collaborative agreement with a licensed dentist in the State of VT.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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