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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 151 to 160 of 542 results
Transmittal Number: CO-20-0026
State: Colorado
Summary: Allows outpatient hospital-rates to be decreased by one percent
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CO-20-0036
State: Colorado
Summary: provides for a one percent decrease for inpatient hospital services
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: CO-20-0016
State: Colorado
Summary: Updates the payment amount for the University of Colorado School of Medicine Supplemental Payment for Physician and Professional Services at qualifying Colorado State-Owned or Operated Professional Services Practices. 
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: CO-20-0023
State: Colorado
Summary: Effective for services on or after July 1, 2020, this amendment implements a 1 % across-the-board rate decrease for non-institutional services and psychiatric residential treatment facilities (PRTFs) as appropriated by the legislature during the 2020 legislative session. 
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CO-20-0027
State: Colorado
Summary: Provides that pediatric specialty hospitals will receive a one percent reduction to each hospital’s July 1, 2019 Medicaid base rate. In addition, it updates the budget neutrality factor for state fiscal year (SFY) 2021.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CO-20-0015
State: Colorado
Summary: Updates the payment pool amounts for the Rural Family Residency Development Payment, Family Medicine Residency Program Payment, State University Teaching Hospital Payment, and the Pediatric Major Teaching Payment
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CO-20-0032-A
State: Colorado
Summary: Decreases the maximum adult dental benefit
Approval Date:
Effective Date:
Topics:
  • Dental
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Transmittal Number: CO-20-0001
State: Colorado
Summary: Adds residential and inpatient SUD treatment and withdrawal management services as covered services
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Coverage
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Transmittal Number: CO-20-0025
State: Colorado
Summary: provides for a two percent increase to the statewide average Medicaid Management Information Systems (MMIS) reimbursement rate.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: AS-20-0001
State: American Samoa
Summary: Effective October 1, 2020, this amendment adds a new benefit of Personal Care Services and payment methodology for the service.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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