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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 911 to 920 of 2132 results
Transmittal Number: MN-23-0021
State: Minnesota
Summary: This amendment makes changes to nursing facilities rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: IL-23-0022
State: Illinois
Summary: This plan amendment the updates the rates for Substance Use Disorder Treatment.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: DC-23-0012
State: District of Columbia
Summary: This plan amendment will update payment for physician-administered drugs. It will also allow the Department of Health Care Finance to reimburse the entire class of physician-administered drugs at one hundred percent (100%) of Medicare rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MO-23-0028
State: Missouri
Summary: This state plan amendment increases EPSDT/Private Duty Nursing and Personal Care rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: TX-23-0013
State: Texas
Summary: The purpose of the amendment is to update the rate methodology and payment rates for Personal Care Services (PCS) in support of increasing the base wage for certain personal attendants under Medicaid and other programs administered by HHSC to $10.60 per hour, in accordance with the 2024-25 General appropriations Act, House Bill 1, 88th Texas Legislature, Regular Session, 2023 (Article II, HHSC, Rider 30(a)).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-22-0004
State: New York
Summary: This plan proposes to revise reimbursement fees for OPWDD Day Treatment services to reflect changes in costs and service providers.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: IN-23-0012
State: Indiana
Summary: Extends the expiration date of the out of state children's hospital reimbursement methodology from July 1, 2023 to July 1, 2025.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NH-23-0046
State: New Hampshire
Summary: This plan updates rates and methodology for Home Health and Private Duty Nursing Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MS-23-0021
State: Mississippi
Summary: This SPA allows the Division of Medicaid (DOM) to increase the reimbursement rates for certain mental health services by 15.8% with half of the increase implemented in State Fiscal Year (SFY) 2024 and the second half of the increase implemented in SFY 2025. Rates are effective for services provided on or after July 1 for each year.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: SC-23-0012
State: South Carolina
Summary: This amendment proposes to change services provided by county Substance Use Disorder (SUD) authorities under the oversight of the SC Department of Alcohol and Other Drug Abuse Services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Drugs and Related Services
  • Coverage
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT