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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 1031 - 1040 of 15689

Washington

This SPA amends new income disregards for the Qualified Medicare Beneficiaries (QMB) and Qualifying Individuals eligibility groups.

Approval Date: May 3, 2024
Effective Date: April 1, 2024
Topics: Eligibility Medicaid and CHIP Program (MACPro)

Montana

Move authority for the Tribal Health Improvement Program (T-HIP) from a 1915(b) waiver to a 1932(a) SPA, while further aligning the program design with primary care case management entity requirements found in 42 CFR § 438.2.

Approval Date: May 3, 2024
Effective Date: July 1, 2024
Topics: Managed Care Tribal/Indian Health Services

Nevada

This plan amendment updates the updates the payment methodology for state plan Certified Community Behavioral Health Clinics (CCBHCs).

Approval Date: May 3, 2024
Effective Date: May 12, 2023

Wisconsin

This Amendment memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Wisconsin's state plan.

Approval Date: May 3, 2024
Effective Date: January 1, 2024
Topics: Eligibility Medicaid and CHIP Program (MACPro)

Massachusetts

This amendment proposed to eliminate the resource test for the following eligibility groups: Qualified Medicare Beneficiaries; Specified Low-Income Medicare Beneficiaries; and Qualifying Individuals.

Approval Date: May 3, 2024
Effective Date: March 1, 2024
Topics: Coverage Eligibility Medicaid and CHIP Program (MACPro)

Vermont

This amendment proposed to document the new income standards for its optional state supplement program, beneficiaries of which are eligible for Medicaid under Vermont's State Plan.

Approval Date: May 3, 2024
Effective Date: January 1, 2024
Topics: Coverage Eligibility Medicaid and CHIP Program (MACPro)

Vermont

This amendment proposes to increase the Personal Needs Allowance for Vermont Medicaid.

Approval Date: May 3, 2024
Effective Date: January 1, 2024
Topics: Long-Term Services & Support

Minnesota

This plan amendment updates the Medicaid payment rates for inpatient hospital services to include a payment adjustment for hospitals providing graduate medical education.

Approval Date: May 2, 2024
Effective Date: January 1, 2024

Oregon

This plan amendment implements supplemental payments to nursing homes participating in the Oregon CareWorks program.

Approval Date: May 2, 2024
Effective Date: January 1, 2024

Oklahoma

This plan amendment revokes the Potentially Preventable Readmissions policy.

Approval Date: May 2, 2024
Effective Date: January 1, 2024