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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 341 to 350 of 516 results
Transmittal Number: CO-14-025
State: Colorado
Summary: Screening, Brief Intervention, Referral to Treatment (SBIRT) payment rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-14-022
State: Colorado
Summary: Immunization Administration.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: CO-13-051-MM
State: Colorado
Summary: Offers Medicaid Coverage for Individuals Determined Presumptively Eligible by a Qualified Hospital.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: CO-14-002
State: Colorado
Summary: Adds an MCO payment reform pilot program to the current PCCM structure of the ACC.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-14-0010
State: Colorado
Summary: This Alternative Benefits Plan SPA amendment adds Adult Dental Benefits to the existing Alternative Benefit Plan for Colorado Medicaid previously approved under (TN) 13-0055.
Approval Date:
Effective Date:
Topics:
  • Dental
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-14-004
State: Colorado
Summary: This State Plan Amendment adds Colorado's authorized Demonstration for persons who are Medicare and Medicaid enrollees under Section 1932(a) authority. The submission includes a revision to Colorado's ACC program to conform to the Demonstration.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-14-008
State: Colorado
Summary: Removes barbiturates, benzodiazepines, and agents used to promote smoking cessation from the list of drugs the state Medicaid program may exclude from coverage or otherwise restrict in order to comply with the requirements of Section 2502(a) of the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
  • Program Administration
Links:
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Transmittal Number: CO-13-054
State: Colorado
Summary: Amends the State Plan to finance nursing facilities during emergencies or critical incidents and provides administrative relief to nursing facilities during emergencies or critical incidents.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CO-13-050-MM
State: Colorado
Summary: Affirms Citizenship Regulations, Specifies Reasaonble Opportunity Options, and Specifies Policy Options Related to Immigrant Eligibility.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: CO-14-001
State: Colorado
Summary: This amendment applies to limiting application of Estate Recovery for individuals aged 55+ receiving nursing facility or HCBS services to only the federally required services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT