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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 253 results
Transmittal Number: VT-15-023
State: Vermont
Summary: To allow licensed dental hygienists to bill directly for services when working under a collaborative agreement with a licensed dentist in the State of VT.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: VT-15-011
State: Vermont
Summary: Updates Various Provisions of Vermont Medicaid's Shared Savings Program for Performance Year 2.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
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Transmittal Number: VT-15-013
State: Vermont
Summary: Payment for evaluation & management services and vaccine administration services for eligible primary care providers.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: VI-15-008
State: Virgin Islands
Summary: Provides facility services. with prior authorization to recipients 21 years or older who meet nursing facility level of care as determine by the Medicaid Agency.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: VT-15-015
State: Vermont
Summary: Adds Annual Site Visits as an Aspect of Vermont's Compliance Oversight of the Employee Education Requirements of the False Claim Act.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: VT-14-017
State: Vermont
Summary: ACO Shared Savings Program.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: VI-15-0003
State: Virgin Islands
Summary: Incorporates MAGI Based eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: VI-15-002
State: Virgin Islands
Summary: Alternative Benefit Plan.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: VT-14-008
State: Vermont
Summary: This SPA reflects that Vermont will use MAGI-based income methodologies for purposes of determining medically needy eligibility for parents/caretaker relatives, pregnant women, and children. All resources will be disregarded for purposes of determining eligibility for these medically needy groups subject to MAGI-based income methodologies.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Financing & Reimbursement
  • Prescription Drugs
Links:
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Transmittal Number: VT-14-0027
State: Vermont
Summary: Revises Vermont's Alternate Benefit Plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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