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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 531 to 540 of 594 results
Transmittal Number: NJ-05-05
State: New Jersey
Summary: Requires prior authorization for adult and pediatric day health services and place limitations on amount, duration and scope of services.
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Topics:
  • Benefits
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: NH-12-011
State: New Hampshire
Summary: Revises the Medicaid Quality Control system.
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Transmittal Number: NJ-12-08
State: New Jersey
Summary: Updates Language Regarding Section 6032 of the Deficit Reduction Act of 2005.
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Effective Date:
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Transmittal Number: NH-12-010
State: New Hampshire
Summary: This SPA converted the State's combined CHIP program to a full Medicaid Expansion program.
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Effective Date:
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Transmittal Number: NH-10-011
State: New Hampshire
Summary: This amendment modifies reimbursement methodologies for inpatient hospital service providers. Specifically it redesigns the Disproportionate Share Hospital (DSH) reimbursement methodology to prioritize payments to specific types of hospitals and adds provisions for Medicaid inpatient hospital supplemental payments for calendar year 2010 to mitigate the potential impact on cash flow for hospitals with lower uncompensated care cost due to the proposed changes in DSH payment method.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NH-10-006
State: New Hampshire
Summary: This amendment modifies the reimbursement methodology for inpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NH-10-004
State: New Hampshire
Summary: This amendment modifies the reimbursement methodology for inpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NH-09-007
State: New Hampshire
Summary: This amendment modifies the reimbursement methodology for inpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NH-10-014
State: New Hampshire
Summary: This amendment was submitted to provide supplemental payments in calendar year 2010 to non-public, non-federal acute care and rehabilitation outpatient hospitals to increase payments. This SPA also modified state plan payment methodologies for outpatient hospital reimbursement to identify the actual percentage of costs that would constitute the final rate.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NH-06-008
State: New Hampshire
Summary: This amendment added a prior authorization requirement for certain non-emergent, high cost diagnostic x-ray services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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