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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 317 results
Transmittal Number: OK-13-04 T
State: Oklahoma
Summary: This state plan amendment adjusts payment of deductible and coinsurance for Medicare Part A claims for skilled nursing facilities.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OK-14-08
State: Oklahoma
Summary: This amendment allows for additional PACE providers and clarifies the development of the capitated rate for PACE.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OK-14-01
State: Oklahoma
Summary: Rate change for services provided by anesthesiologists.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: OK-14-09
State: Oklahoma
Summary: Revising Pharmacy Pages to reflect removal of exclusions for certain drugs.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
  • Program Administration
Links:
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Transmittal Number: OK-13-07
State: Oklahoma
Summary: This SPA proposes to add recognition of the Oklahoma Department of Mental Health and Substance Abuse Services certification in lieu of other standard accreditation for public and private community mental health centers.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OK-13-22
State: Oklahoma
Summary: Includes a payment method for inpatient psychiatric facility services for individuals under age 21 who are nonverbal and served in a residential level of care.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: OK-13-09
State: Oklahoma
Summary: This SPA amendment intends to establish a fee schedule for rehabilitative services that are part of the Programs of Assertive Community Treatment.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: OK-13-21 -
State: Oklahoma
Summary: Updates State Residency Regulations and Policies regarding Interstate Agreement and Temporary Absence.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: OK-13-18-MM3
State: Oklahoma
Summary: Updates Eligibility Standards for the State Medicaid mandatory and optional eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: OK-13-20-MM5
State: Oklahoma
Summary: Eligibility Standards for the State Medicaid mandatory and optional eligibility groups under the authority of the Social Security Act Section 1902 e 14 and 42 Code of Federal Regulations and according to the new provisions of the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT