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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.

Results

Displaying 331 - 340 of 15690

Arizona

This plan amendment updates the inpatient hospital Differential Adjusted Payment (DAP) program for contract year ending 2025.

Approval Date: December 13, 2024
Effective Date: October 1, 2024

North Carolina

This plan amendment updates the Medically Monitored Inpatient Withdrawal Services reimbursement rate.

Approval Date: December 13, 2024
Effective Date: October 1, 2024

Michigan

This plan amendment will be discontinue the Rate Relief Program to simplify the Michigan Medicaid Long Term Care Reimbursement Methodology and make changes to make it less complicated, less labor intensive and more efficient.

Approval Date: December 13, 2024
Effective Date: January 1, 2024

Arizona

This plan amendment updates the fee schedule for long term acute care and rehabilitation hospital inpatient rates effective October 1, 2024.

Approval Date: December 13, 2024
Effective Date: October 1, 2024

Arizona

This plan amendment updates All Patient Refined Diagnosis Related Group (APR-DRG) reimbursement rates for inpatient hospital services effective October 1, 2024.

Approval Date: December 13, 2024
Effective Date: October 1, 2024

Georgia

This plan amendment extends the current hospital provider payment program through June 30, 2030, per the provisions of O.C.G.A. §31-8-179.6. This applies to inpatient and outpatient hospital services.

Approval Date: December 13, 2024
Effective Date: August 9, 2024

Arizona

This plan amendment updates the nursing facility Differential Adjusted Payment (DAP) program for contract year ending 2025.

Approval Date: December 13, 2024
Effective Date: October 1, 2024

Kentucky

This plan amendment updates the Fee Schedule in lieu of listing rates.

Approval Date: December 13, 2024
Effective Date: October 1, 2024

Louisiana

This plan amendment updates the provisions governing qualifying criteria and reimbursement methodology for other rural hospitals in order to increase payments for inpatient hospital services.

Approval Date: December 13, 2024
Effective Date: September 17, 2024

New York

This plan amendment adds an across-the-board adjustment of a 4.0% Cost of Living adjustment (COLA) to operating rates of payment, per the enacted 2024 Budget to the inpatient service Specialty Hospitals.

Approval Date: December 13, 2024
Effective Date: April 1, 2023