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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 991 - 1000 of 15689

Maine

This plan amendment updates the payment methodology for personal care services provided by Private Non-Medical Institutions (PNMIs) on remote islands.

Approval Date: May 21, 2024
Effective Date: October 1, 2015

Louisiana

This amendment is to amend the provisions governing the Professional Services program in order to align with current practices.

Approval Date: May 20, 2024
Effective Date: January 1, 2024
Topics: Coverage and Reimbursement

California

This amendment is to add services provided by Associate Professional Clinical Counselors, under the supervision of a licensed billable practitioner, to the list of covered services for Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and Tribal FQHCs.

Approval Date: May 20, 2024
Effective Date: April 1, 2024
Topics: Coverage and Reimbursement

Alaska

This Alternative Benefit Plan (ABP) aligns the Advanced Practice Dental Hygienist approved under the Alaska State Plan as a Medicaid billing provider for the expansion population.

Approval Date: May 20, 2024
Effective Date: March 1, 2024

California

This plan amendment updates the rate setting methodology for freestanding skilled nursing facilities Level -B and freestanding adult subacute facilities and provides an aggregate five percent increase in the statewide weighted average labor rate component and an aggregate two percent increase in the statewide weighted average non-labor rate component for the calendar year 2023 rate year.

Approval Date: May 20, 2024
Effective Date: January 1, 2023

Illinois

This plan amendment proposes to increase the Medicaid access adjustment paid to nursing facilities.

Approval Date: May 20, 2024
Effective Date: January 1, 2023

Nevada

This plan amendment removes reference in the plan language to specific Federal Medical Assistance Percentage in the calculation of the nursing facility supplemental payment pool amount, effective January 1, 2024.

Approval Date: May 20, 2024
Effective Date: January 1, 2024

Maine

This plan amendment updates the payment methodology for rehabilitative services and personal care services provided by Private Non-Medical Institutions (PNMIs).

Approval Date: May 20, 2024
Effective Date: August 8, 2015

North Dakota

This Amendment increases the income standard for its Optional Targeted Low-Income Children eligibility group.

Approval Date: May 17, 2024
Effective Date: January 1, 2024
Topics: Medicaid and CHIP Program (MACPro)

New Jersey

To eliminate the income test for its Work Incentives eligibility group and end coverage of its Ticket to Work eligibility group.

Approval Date: May 17, 2024
Effective Date: February 1, 2024