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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 421 to 430 of 516 results
Transmittal Number: CO-12-005
State: Colorado
Summary: Add TWWIIA Basic Coverage Group as a new eligibility category
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: CO-10-038
State: Colorado
Summary: Establishes supplemental reimbursement for public high-valume Medicaid hospitals for uncompensated inpatient hospital care costs provided to Medicaid recipients.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CO-12-001
State: Colorado
Summary: Hospice Services Reimbursement.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CO-11-024
State: Colorado
Summary: NEMT Fee Reduction.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CO-11-044
State: Colorado
Summary: Conditional Coverage for Stirpentol-Clobazam.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: CO-11-042
State: Colorado
Summary: Revises the huerarchy of supplemental Medicaid payments, increases supplemental payments; reduces the aggregate state-wide per diem rate, and provides for other minor clarifications for nursing facility reimbursement.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CO-11-040
State: Colorado
Summary: Revises supplemental Medicaid inpatient and Disproportionate Share Hospital payments to CO Hospitals.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CO-11-010
State: Colorado
Summary: Provides for the removal of exceptions to the referral requirements for services available under the Primary Care Case Management plan and updates PCCM payment information.
Approval Date:
Effective Date:
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Transmittal Number: CO-11-039
State: Colorado
Summary: Update the Governor's delegation of authority letter giving authorization to specific individuals to submit state Plan and/or State Plan Amendments regarding Colorado's Medicaid Program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-11-047
State: Colorado
Summary: PT/OT Change in related services.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT