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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 571 to 580 of 589 results
Transmittal Number: CO-09-016
State: Colorado
Summary: Inpatient Hospital Reimbursement, Rate Reduction.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CO-09-013
State: Colorado
Summary: Modifies the nursing facility reimbursement methodology.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: CO-09-034
State: Colorado
Summary: Updates the reimbursement methodology for non-brokered emergent and non-emergent medical transportation with July, September and December.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CO-09-038
State: Colorado
Summary: Amendment updates the reimbursement methodology for private duty nursing services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CO-09-024
State: Colorado
Summary: Methods and standards for establishing payment rates for services for physician services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CO-09-017
State: Colorado
Summary: FQHC Reimbursement Methodology.
Approval Date:
Effective Date:
Topics:
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Transmittal Number: CO-09-003
State: Colorado
Summary: Reimbursement rates for fee for service outpatient drugs.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CO-09-019
State: Colorado
Summary: Suspends the Public Hospital Payment for Public Hospitals that are State owned and non-State owned government hospitals that provide inpatient hospital services to Medicaid and low-income populations.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CO-09-018
State: Colorado
Summary: Suspends the Supplemental Medicaid Rural Hospital Payment to rural hospitals located outside a federal designated Metropolitan Statistical Area with 60 or fewer beds that provide inpaitent hospital services to Medicaid and low-income populations.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CO-09-020
State: Colorado
Summary: Suspends the existing supplemental Medicaid payment for inpatient hospitals for health care services that provide reimbursement for incompensated care costs related to Medicaid and Colorado Indigent Care Program clients.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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