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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 41 to 50 of 215 results
Transmittal Number: TN-22-0001
State: Tennessee
Summary: Tennessee is submitting this SPA to add language regarding Clinical Trial Coverage as directed by the Consolidated Appropriations Act, 2021.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: TN-21-0010
State: Tennessee
Summary: This SPA proposes that the state may not adjust the patient liability of an individual receiving Medicaid Coverage for certain long-term services and supports during the COVID-19 based on public health emergency.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: TN-21-0008
State: Tennessee
Summary: This amendment is submitted to document compliance with third party liability provisions in the Bipartisan Budget Act of 2018.
Approval Date:
Effective Date:
Topics:
  • Third Party Liability
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WY-21-0012
State: Wyoming
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to implement coverage of COVID-19 vaccine administration and COVID-19 Test administration when provided by pharmacists, pharmacy interns and pharmacy technicians, to the extent authorized by the PREP Act; and 2) Effective December 11, 2020, establish reimbursement rates for the COVID-19 vaccine administration at 100% of the Medicare rate.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: TN-21-0006
State: Tennessee
Summary: This amendment allows coverage of Chiropractors Services for Adults.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: TN-21-0007
State: Tennessee
Summary: Provides assurance of transp01tation requirements in accordance with Section 209 of the Consolidated Appropriations Act of 2021.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: TN-21-0005
State: Tennessee
Summary: Updates the TennCare reimbursement rates for ground ambulance services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WY-20-0012
State: Wyoming
Summary: This state plan amendment (SPA) removes Chiropractic services for individuals over the age of 21 from the Wyoming State plan as approved by the Wyoming Legislation.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WY-21-0010
State: Wyoming
Summary: Wyoming will be removing the 40 Quarters requirement for Medicaid eligibility.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: TN-21-0001
State: Tennessee
Summary: This amendment proposes to add payment methodology for COVID-19 vaccine administration.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT