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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 181 to 190 of 382 results
Transmittal Number: HI-19-0004
State: Hawaii
Summary: Requests an exception to allow a higher contingency fee for all Recovery Audit Contractor claims.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MS-19-0019
State: Mississippi
Summary: Graduate Medical Education (GME) is being submitted to revise the calculation of direct graduate medical education (GME) costs for Mississippi hospitals with an accredited and Medicare approved teaching program, as determined by the Division of Medicaid.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MS-19-0018
State: Mississippi
Summary: Allows qualified Medicaid eligible SSI beneficiaries under the age of nineteen (19), to continue to exclude two (2) automobiles. Those qualified beneficiaries that are over the age of nineteen (19) will only exclude one (1) automobile.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: MS-19-0020
State: Mississippi
Summary: All Patient Refined-Diagnosis Related Groups (APR-DRG) Reimbursement is being submitted to update the following hospital inpatient services.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Cost Sharing
  • Current State Plan
Links:
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Transmittal Number: HI-19-0003
State: Hawaii
Summary: Proposes to bring Hawaii into compliance with the pharmacy reimbursement requirements in the Covered Outpatient Drugs final rule.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Prescription Drugs
Links:
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Transmittal Number: MS-19-0013
State: Mississippi
Summary: Updates hospital outpatient reimbursement.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: MS-18-0015
State: Mississippi
Summary:
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: MS-19-0011
State: Mississippi
Summary: Allows state to make a technical correction to the term mental retardation.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: Hi-19-0002
State: Hawaii
Summary: This SPA amends the State's tribal consultation timeframe from 45 calendar days to 14 business days.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MS-19-0004
State: Mississippi
Summary: Prescription drug limit increase is being submitted to allow the Division of Medicaid to increase prescription drug limit from 5 to 6 per month.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT