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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.

Results

Displaying 741 - 750 of 15690

New Hampshire

This amendment indicates that New Hampshire complies with the Consolidated Appropriations Act Chapter 146, Laws of 2024 (SB312) regarding third-party liability.

Approval Date: August 27, 2024
Effective Date: July 1, 2024
Topics: Preventive Services Reimbursement Third Party Liability

Kansas

This amendment will expand dental services to cover Medicaid participants over 20 years of age.

Approval Date: August 27, 2024
Effective Date: July 1, 2024
Topics: Coverage and Reimbursement

Connecticut

This plan amendment updates rates for services under Connecticut’s Community First Choice (CFC) program.

Approval Date: August 27, 2024
Effective Date: October 1, 2023

Indiana

This plan amendment proposes to makes changes to the SPA to revise the Medicaid reimbursement for physician services which will be reimbursed utilizing the Medicare payment policies for practitioner payment reductions and site-of-service payment reductions under the Medicare physician fee schedule.

Approval Date: August 27, 2024
Effective Date: April 1, 2024

Washington

This plan amendment updates to reduce the sole community hospital rate multiplier to 1.25.

Approval Date: August 27, 2024
Effective Date: July 1, 2024

Texas

The proposed amendment updates physicians' and other practitioners' program fee schedule.

Approval Date: August 27, 2024
Effective Date: May 1, 2024

Connecticut

This plan amendment updates rates for dental services.

Approval Date: August 27, 2024
Effective Date: September 1, 2023

Colorado

This plan amendment updates the plan by providing for a two percent rate increase for inpatient hospital services.

Approval Date: August 27, 2024
Effective Date: July 1, 2024

Washington

This plan amendment updates the graduate medical education payments for state universities with Level 1 trauma centers, clarification of certified public expenditure and supplemental trauma payments, and removing outdated DRG payment information.

Approval Date: August 27, 2024
Effective Date: July 1, 2024

Montana

This amendment is to extend the time frame for Targeted Case Management (TCM) for pregnant individuals receiving services after the end of their pregnancy to 12 months to align with the state’s extended eligibility coverage of 12 months post-partum for Medicaid-eligible pregnant individuals. 

Approval Date: August 23, 2024
Effective Date: July 1, 2024
Topics: Coverage Targeted Case Management