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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 21 to 30 of 382 results
Transmittal Number: HI-24-0003
State: Hawaii
Summary: This amendment is to update coverage for transportation services to comply with the Consolidated Appropriations Act of 2021.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
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Transmittal Number: MS-24-0001
State: Mississippi
Summary: This amendment proposes allowing the Division of Medicaid to remove references to Medicare regulations and in-home services, unfreeze reimbursement rates, and make other edits required by CMS to End-Stage Renal Disease (ESRD) Services.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
Links:
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Transmittal Number: HI-24-0005
State: Hawaii
Summary: This amendment is to add Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs) to the list of professions that are accepted as Medicaid providers for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) as required by the Consolidated Appropriations Act 2023.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: HI-22-0013
State: Hawaii
Summary: This amendment is to add palliative care services in non-hospital settings.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
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Transmittal Number: HI-24-0001
State: Hawaii
Summary: This amendment is to memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Hawaii's state plan.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: MS-23-0029
State: Mississippi
Summary: This amendment allows a new supplemental payment for inpatient and outpatient services effective October 1, 2023.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: HI-23-0004
State: Hawaii
Summary: This amendment is to adopt the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, Pub. L. No. 115-217, section 1002.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: MS-23-0025
State: Mississippi
Summary: This amendment proposes to allow the Division of Medicaid to revise rates to an hourly rate and a fifteen-minute add-on rate, remove rate freeze language, and revise service components to align with the Department of Mental Health requirements.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
  • Targeted Case Management
Links:
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Transmittal Number: MS-23-0030
State: Mississippi
Summary: This amendment proposes to allow the Division of Medicaid to increase reimbursement rates for orthodontic services by ten percent (10%).
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Dental
  • Reimbursement
  • Prior Authorization
Links:
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Transmittal Number: HI-23-0014
State: Hawaii
Summary: Hawaii MQD rebasing NF rates and changing the case mix from using the RUGs system to the Patient Driven Payment Model system (PDPM). The change is required because CMS has changed to PDPM and will no longer be supporting the RUGs system
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT