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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 371 to 380 of 380 results
Transmittal Number: AL-10-019
State: Alabama
Summary: Adds Medical Assistance to Cover Program of All Inclusive Care PACE for Elderly.
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Transmittal Number: AL-09-007
State: Alabama
Summary: Reimburses Medicaid enrolled pharmacy providers for the administration of the influenza and H1N1 vaccines for eligible recipients.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: AL-09-008
State: Alabama
Summary: Implements the Telemedicine program in order to improve access to health care for Medicaid eligible recipients residing in medically underserved areas of Alabama.
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Topics:
  • Benefits
  • Program Administration
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Transmittal Number: VT-09-09
State: Vermont
Summary: Prescribed Drug Coverage.
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Transmittal Number: VT-09-008
State: Vermont
Summary: This amendment amends the rate setting methodology for reimbursement to nursing facilities. Specifically, it modifies the methodology for calculating inflation factors for state fiscal year 2010 only in the following cost categories: Nursing Care, Director of Nursing, Resident Care, and Indirect.
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  • Financing & Reimbursement
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Transmittal Number: AL-09-004
State: Alabama
Summary: Designates the Express Lane Eligibility for redetermination of Medicaid recipients younger than age 19.
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Topics:
  • Eligibility
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Transmittal Number: VT-09-003
State: Vermont
Summary: Hospital Inpatient Payment Methodology Changes.
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  • Financing & Reimbursement
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Transmittal Number: AL-09-003
State: Alabama
Summary: Explain State Methodology for Determining Cost Effectiveness with HIPP.
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Transmittal Number: VT-09-004
State: Vermont
Summary: Update of Standards for Federal SSI Portion of the SSI/AABD Payment Based on COLA.
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Transmittal Number: AL-23-0011
State: Alabama
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. This amendment continues to allow telehealth services to continue until May 31, 2023, originally approved in Disaster Relief SPA TN 20-0004.
Approval Date:
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Topics:
  • Disaster Relief
  • Benefits
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