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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 151 to 160 of 499 results
Transmittal Number: OH-20-0021
State: Ohio
Summary: Effective 12/31/2020, this amendment updates reimbursement methodology for nursing facility services - case mix scores and ventilator services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: OH-20-0016
State: Ohio
Summary: Includes the Ohio Department of Rehabilitation and Corrections in the list of qualified entities eligible to make Presumptive Eligibility (PE) determinations for Pregnant Women, Children, Adults, Parents or Caretaker Relatives, and the Former Foster Care Group.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OH-20-0020
State: Ohio
Summary: Value-Based Purchasing: Suspending Episode-Based Payments Program for program years 2020 and 2021
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OH-20-0019
State: Ohio
Summary: Payment for Services: ICF-IID Payment Changes
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: OH-20-0017
State: Ohio
Summary: Inpatient Hospital Services: Cost Coverage Add-On Updates
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: AS-20-0001
State: American Samoa
Summary: Effective October 1, 2020, this amendment adds a new benefit of Personal Care Services and payment methodology for the service.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: OH-20-0015
State: Ohio
Summary: amended to disregard temporary decennial census income for Non-MAGI eligibility groups by applying less restrictive income methodologies
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: OH-20-0018
State: Ohio
Summary: updates the Outpatient Hospital Services Cost Coverage Add-Ons.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: OH-20-0014
State: Ohio
Summary: Change the beginning date of coverage for individuals given a Reasonable Opportunity Period (ROP) from the date of the application to the to the first day of the month in which the application is received. 
Approval Date:
Effective Date:
Topics:
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Transmittal Number: OH-20-0008
State: Ohio
Summary: Updates provisions related to cost reporting for nursing facilities, and to make other changes for clarity and concision
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
Links:
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