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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 71 to 80 of 160 results
Transmittal Number: WY-18-0002
State: Wyoming
Summary: Exempts the State from the requirement for a full-time medical director, with an increased look back period and an increased contingency fee percentage to facilitate the State's attempt to procure an RAC contractor.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WY-18-0001
State: Wyoming
Summary: Reimbursement update for AVS.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: AS-17-002
State: American Samoa
Summary: Increases the encounter rate for FQHCs.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WY-17-0007
State: Wyoming
Summary: This SPA will change State' s trauma code editing and reporting process with the implementation ofICD-10-CM and change the process of data exchange with the Wyoming Department of Transportation for Motor Vehicle Accident Reports.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WY-17-0003
State: Wyoming
Summary: This Recovery Audit Contractor( RAC) SPA waives certain requirements of Section 1902(a)(42) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WY-17-0006
State: Wyoming
Summary: This SPA will apply the following income standard\u2014 Unearned income not to exceed 300% of the SSI Payment level.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WY-17-0002
State: Wyoming
Summary: This SPA proposes to bring Wyoming into compliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment period CMS-2345-FC).
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: WY-17-0001
State: Wyoming
Summary: This SPA makes changes to trauma code editing and reporting due to the advent oflCD-10-CM and acknowledges the change to the data exchange process with the Wyoming Department of Transportation.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AS-12-007
State: American Samoa
Summary: Allows for the coverage of lawfully residing pregnant women and children under Section 214 of CHIPRA.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: AS-17-001
State: American Samoa
Summary: This amendment proposes coverage and reimbursement of emergency and certain other medical services furnished by off-island and out-of-country providers, effective April 1, 2017.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT