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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 41 to 50 of 382 results
Transmittal Number: MS-23-0021
State: Mississippi
Summary: This SPA allows the Division of Medicaid (DOM) to increase the reimbursement rates for certain mental health services by 15.8% with half of the increase implemented in State Fiscal Year (SFY) 2024 and the second half of the increase implemented in SFY 2025. Rates are effective for services provided on or after July 1 for each year.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MS-23-0017
State: Mississippi
Summary: Allow the Division of Medicaid (DOM) to change the payment per resident.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MS-23-0027
State: Mississippi
Summary: This amendment is to extend its current waiver from seeking a RAC vendor approved in State Plan Amendment (SPA) 22-0024 for one (1) additional year to attempt to procure a new, competitively bid RAC contract that complies with current state and federal laws and regulations.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-23-0018
State: Mississippi
Summary: This amendment is to renew Mississippi’s 1915(i) State Plan HCBS benefit. 
Approval Date:
Effective Date:
Topics:
  • Home and community based services
  • Benefits
  • Targeted Case Management
  • Reimbursement
Links:
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Transmittal Number: MS-23-0013
State: Mississippi
Summary: This amendment proposes to allow the state to add coverage for selected drugs that treat obesity
Approval Date:
Effective Date:
Topics:
  • Prescribed Drugs
Links:
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Transmittal Number: HI-23-0006
State: Hawaii
Summary: This amendment is to update the coverage provisions concerning extended services for pregnant women to align with the expansion of post-partum coverage approved in SPA 22-0008.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: MS-23-0011
State: Mississippi
Summary: This amendment proposes to allow the Division of Medicaid (DOM) to remove copays from Medicaid services.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
  • Coverage
Links:
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Transmittal Number: MS-23-0010
State: Mississippi
Summary: Allows the Division of Medicaid (DOM) to continue the same PDN rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MS-23-0019
State: Mississippi
Summary: This plan amendment was submitted to allow the Division of Medicaid (DOM) to continue the fifteen percent (15%) increase for Prescribed Pediatric Extended Care (PPEC) facilities that were made effective October 1, 2022 beyond the end of the federal Public Health Emergency.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: HI-23-0009
State: Hawaii
Summary: This amendment is to waive the provider application fee.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT