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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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Transmittal Number: OH-09-032
State: Ohio
Summary: Supplemental inpatient hospital payments for children's hospitals.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Financing & Reimbursement
Links:
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Transmittal Number: LA-09-40
State: Louisiana
Summary: The purpose of this amendment is to implement the Long Term Care Insurance Partnership program which provides for the disregard of resources as well as estate recovery disregard in an amount equal to the insurance benefit payments made to or on behalf of an individual who is a beneficiary under a long-term care insurance policy, in accordance with the provisions of Section 6021 of the Deficit Reduction Act 2005.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: LA-09-41
State: Louisiana
Summary: The purpose of this amendment is to revise the method of evaluating the cost effectiveness of the Louisiana Health Insurance Premium Payment Program (LaHIPP).
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
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Transmittal Number: LA-09-13
State: Louisiana
Summary: The purpose of this amendment is to reduce the reimbursement for non-state, non-rural outpatient hospital services by 3.5% due to budgetary shortfall.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: LA-09-43-NIRT
State: Louisiana
Summary: The purpose of this Amendment is to increase the per diem rate for non-state intermediate care facilities for persons with developmental disabilities.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: OH-09-022
State: Ohio
Summary: Memorandum of Understanding agreement between ODJFS and OHSAI.
Approval Date:
Effective Date:
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Transmittal Number: LA-09-50
State: Louisiana
Summary: The purpose of this amendment is to Allow payment to qualified pharmacists fur administration of the H1N1 vaccine.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: LA-09-17
State: Louisiana
Summary: Anesthesia Services - CRNA Reimbursement Reduction.
Approval Date:
Effective Date:
Topics:
Links:
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Transmittal Number: LA-09-08
State: Louisiana
Summary: Personal Care Services Hour Reduction.
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Effective Date:
Topics:
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Transmittal Number: LA-09-04
State: Louisiana
Summary: Reduces the reimbursement rates for Long Term Personal Care Services by 3.5% due to a budgetary shortfall.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT