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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 51 to 60 of 462 results
Transmittal Number: MT-22-0019
State: Montana
Summary: lists new fee schedules for services within the Other Rehabilitative Services, in accordance with the 2021 Montana legislature.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MT-22-0015
State: Montana
Summary: This Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) plan amendment implements an updated Medicaid Youth Mental Health Fee Schedule, reflecting updated reimbursement rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MT-22-0021
State: Montana
Summary: This plan amendment increases the rate and conversion factor to reflect the 2021 legislative appropriation of 1.9% increase and add the service to the state’s reimbursement Introduction Page, as it pertains to Targeted Case Management for Individuals with Developmental Disabilities Enrolled in the 0208 1915(c) Comprehensive Waiver or Eligible Individuals Age 16 and Over.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MT-22-0018
State: Montana
Summary: This plan amendment updates the bundled composite rate for services provided in an outpatient maintenance dialysis clinic.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MT-22-0014
State: Montana
Summary: Updates the date of the fee schedule for state plan services on the Introduction Page.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MT-22-0020
State: Montana
Summary: Updates the date of the fee schedule for the Licensed Marriage and Family Therapists state plan.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MT-22-0032
State: Montana
Summary: The purpose of this amendment is to temporarily increase payment rates for fee for service state plan home and community based services through quarterly supplemental payments based upon a percentage of Medicaid allowable paid claims in order to maintain a stable workforce and preserve services during the declared public health emergency.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
  • Home and community based services
Links:
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Transmittal Number: MT-21-0005
State: Montana
Summary: This amendment is to add medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Coverage/MAT
Links:
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Transmittal Number: MT-22-0008
State: Montana
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to implement an incremental increase to the current Urban Indian Organization (UIO) Prospective Payment System (PPS) rates effective July 1, 2021, through the duration of the Public Health Emergency (PHE).
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: MT-22-0009
State: Montana
Summary: This SPA authorizes coverage and reimbursement of COVID-19 vaccine and vaccine administration, in compliance with the American Rescue Plan (ARP) Act of 2021.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT