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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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Transmittal Number: IL-11-12
State: Illinois
Summary: Recovery Audit Contractors for Medicaid - Request for Delay of Implementation.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: LA-11-32-NIRT
State: Louisiana
Summary: The purpose of this amendment is to revise the provisions goveming the reimbursement methodology for nursing facilities to ensure that the provisions goveming private room conversions aze consistent with the increase in the fair rental value minimum occupancy percentage.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: LA-11-19-NIRT
State: Louisiana
Summary: The purpose of this amendment is to increase the direct care and care related price multiplier and to increase the fair rental value minimum occupancy percentage for the calculation of nursing facilities payments.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: IL-11-04
State: Illinois
Summary: Methods and standards for establishing payment rates for nursing facility services.
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Topics:
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Transmittal Number: LA-11-13
State: Louisiana
Summary: Establishes home and community based services under the 1915(i) state plan option for Adult Behavioral Health Services concurrent with the Behavioral Health 1915(b) waiver under a capitated contract reimbursement methodology.
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Transmittal Number: IL-09-08
State: Illinois
Summary: Methods and standards for establishing payment rates - reimbursement for long term care facilities.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: LA-11-024
State: Louisiana
Summary: Reduces the nursing gacilities rate in effect on June 30, 2011 by $26.98, followed by a rebasing of the rate effective July 1, 2011.
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  • Financing & Reimbursement
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Transmittal Number: LA-11-025
State: Louisiana
Summary: Revises the Medicaid reimbursement rate for a public over 50 bed intermediate care facility for persons with developmental disabilities that is transitioning to a private facility.
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  • Financing & Reimbursement
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Transmittal Number: LA-10-48
State: Louisiana
Summary: To establish the program criteria and covered services for the Pediatric Day Health Care Program.
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Topics:
  • Program Administration
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Transmittal Number: LA-11-21
State: Louisiana
Summary: Amendment Implements A New Mandatory Managed Care Program Called Bayou Health.
Approval Date:
Effective Date:
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