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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 321 to 330 of 489 results
Transmittal Number: MT-14-038
State: Montana
Summary: This SPA amends Speech Therapy and Audiology Services to include an approximate 2% fee increase and language to clarify the methodology used for pricing when there is no RBRVS or Medicaid history data available.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: MT-14-021
State: Montana
Summary: This SPA amends Physician Services to increase the conversion factor by 4.5%.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: MT-14-0036
State: Montana
Summary: Nursing Facility Reimbursement Updates for 2% Provider Rate Changes; Update Administrative Rule References; Update Fiscal Year End; Update State-Wide Median Price.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: MT-14-0031
State: Montana
Summary: Payment methodology and include a 2% provider rate increase for Personal Care Services.
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Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: MT-14-002
State: Montana
Summary: Updating Personal Care Services by outlining the provider qualification criteria.
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Topics:
  • Benefits
  • Program Administration
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Transmittal Number: MT-14-019
State: Montana
Summary: .7% increase to bundled psychiatric service rate.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: MT-14-013
State: Montana
Summary: Adds language to the inpatient state plan which explains the new elective deliveries policy and add the language regarding reasonable cost reimbursement back into the state plan which was inadvertently left out in TN11-027.
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  • Program Administration
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Transmittal Number: MT-14-037
State: Montana
Summary: This SPA updates Montana' s fee schedule for Free Standing Birthing Center Services which includes an approximate rate increase of 9.7%.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: MT-14-017
State: Montana
Summary: This amendment proposed to update the dispensing fee for preferred brand name and generic drugs as well as generic drugs not identified on the preferred list from $6. 52 to $6.65.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: MT-14-001
State: Montana
Summary: Implements the Addition of Community First Choice Services as a Medicaid Funded Service Option.
Approval Date:
Effective Date:
Topics:
  • Benefits
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