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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 51 to 60 of 106 results
Transmittal Number: ME-18-004
State: Maine
Summary: This SPA increases the standards for the optional State supplementary payment program.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: ME-12-0006
State: Maine
Summary: Updates the coverage limits for chiropractic services covered under the Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: ME-17-0008
State: Maine
Summary: The purpose of this SPA is to delay implementation of a Recovery Audit Contractor program through June 1, 2019.
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Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: ME-17-0015
State: Maine
Summary: Add supplemental payments for outpatient hospital services.
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Transmittal Number: ME-16-005
State: Maine
Summary: Replaces discontinued dental codes with new dental codes in the Medicaid State Plan and remove references to the temporary pilot program for Independent Practice Dental Hygienists (IPDHs) because the pilot had ended. There was no change in service as a result of the program ending. This SPA is estimated to have a Federal budget impact of $299,939 in 2016 and $410,830 in 2017.
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Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: ME-16-003
State: Maine
Summary: Updates the payment methodology for chiropracto services to include radiology CPT codes for covered services.
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  • Financing & Reimbursement
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Transmittal Number: ME-15-016
State: Maine
Summary: Revises reimbursement for nursing facility services.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: ME-14-022
State: Maine
Summary: Implements legislative changes to the reimbursement methodology for nursing facility services.
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Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: ME-16-0001
State: Maine
Summary: To revise the reimbursement methodology for comprehensive Health Home services provided to adults and children with significient mental health and co-occurring diagnoses.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: ME-16-007
State: Maine
Summary: To clarify the state's payment methodology for physician's services.
Approval Date:
Effective Date:
Topics:
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