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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 341 to 350 of 375 results
Transmittal Number: AZ-11-004
State: Arizona
Summary: Provides assurance of Arizona s participation in the Public Assistance Reporting Information System (PARIS).
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: TN-11-004
State: Tennessee
Summary: Meets Requirement for the Public Assistance Reporting Information System PARIS.
Approval Date:
Effective Date:
Topics:
Links:
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Transmittal Number: AZ-11-002
State: Arizona
Summary: Add a description of hospice services under the Early Periodic Screening, Diagnosis and Treatment (EPSDT) benefit.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: AZ-10-001
State: Arizona
Summary: Implements nominal cost sharing.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
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Transmittal Number: TN-11-010B
State: Tennessee
Summary: This amendment assures that Tennessee is in compliance with Section 4107 provision of the Affordable Care Act which requires that States offer tobacco cessation counseling services for pregnant women.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: TN-11-003
State: Tennessee
Summary: This State Plan Amendment addresses the list of incurred expenses that may be deducted for institutionalized persons as part of the post-eligibility treatment of income.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: AZ-11-003
State: Arizona
Summary: Requires that a State shall not provide any payments for items or services provided under the State plan or under a waiver to any financial institution or entity located outside of the United States.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: TN-10-005
State: Tennessee
Summary: This amendment confirms that Tennessee intends on contracting with Recovery Audit Contractor(s) (RAC)s to audit Medicaid providers and review Medicaid claims submitted by provider of services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AZ-10-013
State: Arizona
Summary: Allows licensed pharmacists employed by an AHCCCS-registered pharmacy and acting within their scope of practice to administer seasonal flu and pneumococcal vaccines and anaphylaxis agents. AHCCCS-registered pharmacies will be reimbursed an administration fee for seasonal flu and pneumococcal vaccines and anaphylaxis agents administered by licensed pharmacists.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
  • Program Administration
Links:
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Transmittal Number: AZ-10-014
State: Arizona
Summary: Implements Section 5006 e of the Recovery Act, which mandates that States consult withTribes and designees of Indian health programs on State plan amendments, waiver requests, or proposals for a demonstration project that are likely to have a direct effect on Indians.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Tribal Issues
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT