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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 91 to 100 of 317 results
Transmittal Number: OK-20-0003
State: Oklahoma
Summary: This SPA describes the methodology used by the state for determining the appropriate FMAP rate, including any increased FMAP rates, available under the provisions of the Affordable Care Act applicable for the medical assistance expenditures under the Medicaid program associated with adult group enrollees adopted by the state in SPA 21-0001.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Benefits
  • Financing & Reimbursement
Links:
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Transmittal Number: OK-20-0002
State: Oklahoma
Summary: This SPA establishes the benefits and services that will serve as the Alternative Benefit Package (ABP) that will be available to Oklahoma’s adult group. Oklahoma’s ABP for the adult group will include the same services that are traditionally available to categorically needy individuals under the state’s approved State plan. The population group for this ABP includes only the adult group.

 
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Benefits
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OK-21-0002
State: Oklahoma
Summary: adds an Alternative Benefit Plan (ABP) to Oklahoma’s State Plan to cover the Medicaid Expansion Population
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: OK-21-0003
State: Oklahoma
Summary: Establish methodology to claim the appropriate FMAP rate for individuals enrolled in the new adult group
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: OK-20-0038
State: Oklahoma
Summary: Proposes to update the standard for retrospective drug utilization reviews (DUR) in accordance with section 1004 of the Substance Use-Disorder Prevention that promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities A
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OK-20-0028
State: Oklahoma
Summary: Update nursing facility rates for the state fiscal year by rebasing the base and add on rates and quality metric updates
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: OK-20-0041
State: Oklahoma
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to allow supplemental reimbursement for nursing facility ventilators related to the cost of care.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
Links:
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Transmittal Number: OK-20-0033
State: Oklahoma
Summary: revises the rate methodology for new Certified Community Behavioral Health (CCBH) service providers
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OK-20-0004
State: Oklahoma
Summary: increases the maximum age to 21 for individuals who are involved in or at serious risk of involvement with the juvenile justice system; and align targeted case management services with current evidence-based practices
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Eligibility
Links:
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Transmittal Number: OK-20-0040
State: Oklahoma
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment to cover COVID-19 mobile testing.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT