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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 488 results
Transmittal Number: MT-18-0043
State: Montana
Summary: This restores rates to levels prior to the State's budget reduction.
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Transmittal Number: MT-18-0051
State: Montana
Summary: This restores rates to levels prior to the State's budget.
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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.
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Transmittal Number: MT-18-0003
State: Montana
Summary: This creates an Alternative Payment Methodology (APM) so that tribal 638 clinics which choose to change their enrollment status to FQHC are assured of continuing to receive the All Inclusive Rate (AIR) and continue to be able to be reimbursed for the number of encounters/day as currently as a clinic.
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Transmittal Number: MT-18-0039
State: Montana
Summary: This revises the effective date for the Private Duty Nursing (PDN) fee.
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Transmittal Number: MT-18-0030
State: Montana
Summary: This updates the reimbursement methodology for Montana's Graduate Medical Education (GME) Program.
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Transmittal Number: MT-18-0035
State: Montana
Summary: A revision for the service number where Montana has Free Standing Birthing Centers displayed in the State Plan and adds the service's reimbursement effective date to Montana's 4.19B Introduction Page.
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Transmittal Number: MT-18-0036
State: Montana
Summary: This updates the fee schedule effective date for MT's EPSDT services under non-institutional services 4. l 9B reimbursement.
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Transmittal Number: MT-18-0033
State: Montana
Summary: This amendment revises the effective date for the fee schedule for many of the services on the Intro Page.
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Transmittal Number: MT-18-0012
State: Montana
Summary: This clarifies MT's transportation service reimbursement, and adds Transportation to MT' s Introduction ( or Frontice) Page for non-institutional services 4.19B reimbursement.
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