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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 405 results
Transmittal Number: HI-23-0008
State: Hawaii
Summary: This State Plan Amendment (SPA) proposes to increase payment up to Medicare benchmark for most medical professional, non-institutional items and services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WI-23-0024
State: Wisconsin
Summary: Increase in hospital reimbursement due to Wisconsin Biennial Budget increase.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: WI-23-0021
State: Wisconsin
Summary: This Amendment expands substance use disorder (SUD) health home services to additional counties.
Approval Date:
Effective Date:
Topics:
  • Health Homes
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: HI-23-0010
State: Hawaii
Summary: This amendment is to implement twelve months continuous eligibility for children.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WI-23-0019
State: Wisconsin
Summary: Nursing home Rate Changes
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: WI-23-0017
State: Wisconsin
Summary: This amendment expands coverage for point of care drug testing to outpatient substance abuse and substance abuse day treatment benefits.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WI-23-0015
State: Wisconsin
Summary: This amendment is Recovery Audit Contractor (RAC} Program Exemption
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WI-23-0016
State: Wisconsin
Summary: This amendment provides assurance for compliance with third party liability requirements outlined in the Consolidated Appropriates Act (CAA) of 2022
Approval Date:
Effective Date:
Topics:
  • Third Party Liability
Links:
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Transmittal Number: WI-23-0014
State: Wisconsin
Summary: This SPA proposed to revise the state’s reimbursement rate for physician administered drugs such that it will continually align with the Medicare Fee Schedule reimbursement rate.
Approval Date:
Effective Date:
Topics:
  • Physician Administered Drugs
  • Reimbursement
Links:
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Transmittal Number: HI-23-0006
State: Hawaii
Summary: This amendment is to update the coverage provisions concerning extended services for pregnant women to align with the expansion of post-partum coverage approved in SPA 22-0008.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT