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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 211 to 220 of 380 results
Transmittal Number: VT-15-005
State: Vermont
Summary: This SPA updates the rates paid for services under the Department of Vermont Health Access' Resource Based Relative Value Scale methodology.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: AL-14-011
State: Alabama
Summary: The primary purpose for this amendment is to rescind the broker model and update the description of the system of delivery for the NonEmergency Medical Transportation.
Approval Date:
Effective Date:
Topics:
Links:
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Transmittal Number: AL-15-001
State: Alabama
Summary: This SPA extends Transitional Medical Assistance to an initial period of 12 months, per option provided by the American Recovery and Reinvestment Act.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AL-14-009
State: Alabama
Summary: This SPA allows the Alabama Medicaid Agency to increase Durable Medical Equipment (DME) provider reimbursement to 80 percent of Medicare's allowed amount.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: AL-13-016
State: Alabama
Summary: Discontinue the Certified Public Expenditure (CPE) program for State and Non State governmental hospital facilities and to implement plan authority for an Upper Payment Limit (UPL) program for State and Non-State governmental hospitals.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: VT-14-025
State: Vermont
Summary: Changes the percentages that are used to recalculate the Medicaid Interim Reimbursement Rates for Rural Health Centers and Federally Qualified Health Centers.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: VT-14-015
State: Vermont
Summary: Updates the Outpatient Prospective Payment System to align with Medicare's national median rates except as specified in the state plan.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: AL-14-0005-MM1
State: Alabama
Summary: Eliminates the deprivation requirement for a dependent.
Approval Date:
Effective Date:
Topics:
Links:
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Transmittal Number: AL-14-0006-MM3
State: Alabama
Summary: SPA 14-006-MM3 supersedes AL-13-0022-MM3 and changes the age used for children in Alabama's MAGI-based income methodologies.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: VT-14-023
State: Vermont
Summary: Updates the disproportionate share hospital payment methodology for the SPRY 2015.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT