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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 231 to 240 of 753 results
Transmittal Number: PA-20-0002
State: Pennsylvania
Summary: Continues an additional class of disproportionate share hospital payment to qualifying hospitals

that provide medical and surgical services for ocular disease and injuries
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Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: WI-20-0003
State: Wisconsin
Summary: Modifies the income limits for the Optional State Supplement Beneficiaries to reflect the Social Security Cost of Living Adjustment (COLA).
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Transmittal Number: WI-19-0001
State: Wisconsin
Summary: Increased fees for Dental Services for Special Needs Populations
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Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: PA-20-0003
State: Pennsylvania
Summary: Continues an additional class of disproportionate share hospital payment to qualifying facilities that promote access to comprehensive inpatient services.
Approval Date:
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Topics:
  • Financing & Reimbursement
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Transmittal Number: WI-19-0013
State: Wisconsin
Summary: Updates WI's drug utilization program provisions to include requirements established in the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act
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Topics:
  • Prescription Drugs
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Transmittal Number: WI-19-0016
State: Wisconsin
Summary: Personal Care Services Maximum Allowable Fee
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  • Financing & Reimbursement
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Transmittal Number: PA-19-0029
State: Pennsylvania
Summary: This Pa SPA continues the funding of multiple classes of  inpatient  DSH payments and supplemental payments to Medical Assistance-enrolled, qualifying inpatient acute care general hospitals for State Fiscal Years 2019-2020.
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  • Financing & Reimbursement
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    Transmittal Number: WI-19-0014
    State: Wisconsin
    Summary: This amendment modifies WI's cost effectiveness methodology for the Katie Beckett program
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    Effective Date:
    Topics:
    • Financing & Reimbursement
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    Transmittal Number: PA-19-0029
    State: Pennsylvania
    Summary: Additional Classes of Disproportionate Share Payments and Supplemental Payments to Qualifying Hospitals
    Approval Date:
    Effective Date:
    Topics:
    • Financing & Reimbursement
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      Transmittal Number: PA-20-0001
      State: Pennsylvania
      Summary: This SPA authorizes the DHS to continue to make county nursing facility safety net payments to qualifying county nursing facilities in Fiscal Year (FY) 2019-2020. The DHS published a public notice in the Pennsylvania Bulletin on January 11, 2020.  To qualify for a safety net payment, the facility must be a county nursing facility both during the period for which the payment is being made and at the time the payment is made. County nursing facilities located in a geographic zone where the Community HealthChoices (CHC) program will be in operation for the entire 2019-2020 fiscal year are not eligible for this payment.
      Approval Date:
      Effective Date:
      Topics:
      • Financing & Reimbursement
      • Program Administration
      Links:
      SHARE THIS MEDICAID STATE PLAN AMENDMENT