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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 131 to 140 of 474 results
Transmittal Number: PA-19-0028
State: Pennsylvania
Summary: This SPA continues funding of DSH payments to qualifying MA-enrolled acute care general hospitals that provide a high volume of inpatient services to MA eligible and low income populations. These payments are intended to promote access to medically necessary inpatient services for MA eligible persons. The DHS published notice of its intent to allocate funding for these payments in the Pennsylvania Bulletin on December 21, 2019, at 49 Pa.B. 7541. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: PA-19-0015
State: Pennsylvania
Summary: Establishes a supplemental payment to qualifying inpatient hospitals located in a county with greater than 40% Medicaid utilization
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Topics:
  • Financing & Reimbursement
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Transmittal Number: PA-19-0020
State: Pennsylvania
Summary: Continues supplemental payment to qualifying peer group 13 private nursing facilities located in a city of the third class.
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Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: PA-19-0021
State: Pennsylvania
Summary: Continues a supplemental payment to qualifying nursing facilities which provide vent and trach care, for posting to Medicaid.gov.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: PA-19-0023
State: Pennsylvania
Summary: Medical assistance county nursing facility supplementation payment for Fiscal Year 2019-2020.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: PA-19-0024
State: Pennsylvania
Summary: Supplementation payment for Medical Assistance nonpublic nursing facilities located in a county of the first class.
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Transmittal Number: PA-19-0025
State: Pennsylvania
Summary: Fiscal Year 2019-2020 supplementation payment for Medical Assistance nonpublic nursing facilities located in a county of the eighth class.
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Effective Date:
Topics:
  • Benefits
  • Cost Sharing
Links:
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Transmittal Number: PA-19-0026
State: Pennsylvania
Summary: Continues supplemental Medicaid day one incentive (MDOI) payments to qualifying private nursing facilities to enhance access to care.
Approval Date:
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Topics:
  • Benefits
  • Financing & Reimbursement
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Transmittal Number: PA-19-0022
State: Pennsylvania
Summary: Continues a supplemental payment to qualifying private special rehab facilities with high Medicaid occupancy
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: PA-19-0014
State: Pennsylvania
Summary: Preferred Drug List.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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