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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 111 to 120 of 238 results
Transmittal Number: AR-18-0014
State: Arkansas
Summary: Modify and clarify the provisions of the Medicaid State Plan with regards to personal care services and to self-directed personal assistance services.
Approval Date:
Effective Date:
Topics:
  • Managed Care
Links:
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Transmittal Number: AR-18-0013
State: Arkansas
Summary: Revises provider criteria for Patient Centered Medical Home (PCMH).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: AR-18-016
State: Arkansas
Summary: Allows beneficiaries who are eligible for Arkansas Medicaid healthcare benefits on a medical spend down basis and who are medically frail to have access to Tier 2 and Tier 3 Behavioral Health Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: AR-18-017
State: Arkansas
Summary: Offers Home and Community Based Services to individuals with a high level of behavioral health or developmental disability need.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Health Homes
Links:
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Transmittal Number: AR-18-012
State: Arkansas
Summary: Medicaid managed care organizations (MCOs) to the state supplemental rebate agreement.
Approval Date:
Effective Date:
Topics:
  • Managed Care
Links:
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Transmittal Number: AR-18-002
State: Arkansas
Summary: To allow delivery of Telemedicine services to all Arkansas beneficiaries.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AS-18-002
State: American Samoa
Summary: This authorizes the coverage and payment of Medically Necessary Durable Medical Equipment, Prosthetics, Orthotics and Supplies as part of the American Samoan Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: AR-18-005
State: Arkansas
Summary: This provides special consideration to border city university-affiliated pediatric teaching hospitals to utilize cost data in a manner consistent with the method used for identifying cost for private hospital access payments.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: AR-18-0010
State: Arkansas
Summary: This amendment proposes to delete Hysterectomy, Appendectomy, Uncomplicated Pediatric Pneumonia and Urinary Tract Infection Episodes of Care.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: AR-18-004
State: Arkansas
Summary: This combines the current Developmental Day Treatment Clinic Services (DDTCS) for children and Child Health Management Services (CHMS) into a single program designated as Early Intervention Day Treatment (EIDT).
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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