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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 291 to 300 of 588 results
Transmittal Number: LA-14-15
State: Louisiana
Summary: The state plan makes individuals receiving hospice services mandatory participants in BAYOU HEALTH and individuals receiving home and community based waiver services voluntary participants.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Program Administration
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Transmittal Number: VI-13-010
State: Virgin Islands
Summary: This SPA incorporates the establishment of the Virgin Islands Poverty Level and 1902(r)(2) disregards to match.
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Effective Date:
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Transmittal Number: VI-13-011
State: Virgin Islands
Summary: This SPA incorporates MAGI-Based Eligibility Groups - and AFDC Income Standards into the United States Virgin Islands' state plan in accordance with the Affordable Care Act.
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Effective Date:
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Transmittal Number: LA-14-25
State: Louisiana
Summary: Amends the provisions governing DSH payments in order to establish payments to LA low-income academic Hospitals.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: LA-14-35
State: Louisiana
Summary: The state plan amends the provisions governing therapeutic group homes (TGH) to increase the number of beds allowed in a TGH and revise the requirements for research-based practices.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: LA-14-34
State: Louisiana
Summary: Amends the provisions governing reimbursement for emergency medical aircraft transportation in order to increase the rates for services originating in rural areas.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: LA-12-66A
State: Louisiana
Summary: Increases the dispensing fee from $10.13 to $10.51 per prescription.
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Effective Date:
Topics:
  • Financing & Reimbursement
  • Prescription Drugs
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Transmittal Number: LA-14-30
State: Louisiana
Summary: This state plan amendment revises the provisions governing thereimbursement methodology in the Professional Services Program in order to discontinue reimbursement for elective deliveries performed prior to 39 weeks gestation when there is no documentation of a medical condition that would justify elective delivery.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: LA-14-29 T
State: Louisiana
Summary: This amendment removes provisions on reimbursing out of state hospitals for providing hospital inpatient services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: LA-14-23
State: Louisiana
Summary: Amends the prvisions govering the reimbursement methodology for nursing facilities in order to reduce the per diem rates paid to non-state nursing facilities. The per diem rate shall be reduced by $90.26 of the rate in effect on June 30, 2014 until such time that the rate is rebased. The net effect is an increase in the per diem rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT