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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 271 to 280 of 542 results
Transmittal Number: CO-16-0010
State: Colorado
Summary: Updates the supplemental payment pool amounts for teaching hospital payments for residencies, state teaching and pediatric specialty hospitals.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CO-16-0005
State: Colorado
Summary: Updates the methods and standards for establishing payment rates for inpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CO-16-0008
State: Colorado
Summary: Implements the asset verification system.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: CO-16-0004
State: Colorado
Summary: Revises CO's MAGI Income Methodology to include a methodology to annualize income that fluctuates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CO-16-0003
State: Colorado
Summary: Resumes the Colorado Department of Health Care Policy and Financing's (State's) program compliance of the Recovery Audit Contract as set forth in Section 1902 (a) (42) of the SSA Act.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: CO-16-0002
State: Colorado
Summary: Technical correction to the PACE rates and payment language, as requested by CMS. Additionally, the amendment revises the frequency of payment reconcilliation for PACE from quarterly to annually.
Approval Date:
Effective Date:
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Transmittal Number: CO-15-0043
State: Colorado
Summary: Reimbursement update for Inpatient Hospital Supplemental DSH.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CO-15-0036
State: Colorado
Summary: Reimbursement update for Telemedicine Services (eConsult).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CO-15-0021
State: Colorado
Summary: This amendment would affect the methods and standards for establishing payment rates for Clinic Services, reflecting the rate increases effective July 2, 2015.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CO-15-0035
State: Colorado
Summary: Provides Medicaid coverage to all lawfully present children who are otherwise eligible for Medicaid, up to age of 19.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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