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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 121 to 130 of 469 results
Transmittal Number: IL-21-0006
State: Illinois
Summary: Transitions Illinois children enrolled through the sperate CHIP Program to Medicaid expansion coverage through the Optional Targeted Low Income Children eligibility group.
Approval Date:
Effective Date:
Topics:
  • Children's Health Insurance Program
  • Medicaid Expansion
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NM-22-0013
State: New Mexico
Summary: This SPA provides New Mexico with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: NM-22-0010
State: New Mexico
Summary: Description: This SPA adds coverage of routine patient costs associated with participation in qualifying clinical trials to Alternative Benefit Plan (ABP).
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NM-22-0012
State: New Mexico
Summary: Implemented an addon rate for NF ventilator services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: IL-22-0007
State: Illinois
Summary: Ensures reimbursement methodology complies with applicable requirements for safety-net hospitals for obstetric services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: IL-21-0020
State: Illinois
Summary: Updates the fee schedule for long-acting injectable medications administered in Inpatient Hospital psychiatric settings.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: IL-22-0005
State: Illinois
Summary: This amendment implement Sections 1905(a)(30) and 1905(gg) of the Social Security Act, which require coverage of routine patient costs associated with participation in qualifying clinical trials.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: IL-22-0006
State: Illinois
Summary: Updates rates for Occupational Therapy (OT).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NM-22-0009
State: New Mexico
Summary: This SPA amends to add coverage of routine patient costs associated with participation in qualifying clinical trials to conform with the new regulatory requirements of 1905(a)(30) and 1905(gg) of the Social Security Act (SSA).
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: IL-22-0004
State: Illinois
Summary: This amendment increases mental health rates for 2022.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT