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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 581 to 590 of 640 results
Transmittal Number: SD-12-002
State: South Dakota
Summary: Increases Co-Payment for Name Brand Drugs and Generic Drugs.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: CT-11-021
State: Connecticut
Summary: Proposed to reduce the State's estimated acquisition cost (EAC) from average wholesale price (A WP) minus 14 percent to A WP minus 16 percent and the professional dispensing fee from $2. 90 to $2.00.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: NJ-11-03
State: New Jersey
Summary: Implementation of state upper payment limit for multi-source drugs.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
  • Financing & Reimbursement
Links:
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Transmittal Number: OK-12-01
State: Oklahoma
Summary: Pharmacy Pricing Benchmark Methodology.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: PA-12-003
State: Pennsylvania
Summary: Removes Botulinum Toxins from the list of drugs requiring prior authorization.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: TX-12-03
State: Texas
Summary: The amendment clarifies the circumstances under which a drug will be placed on the State's preferred drug list. The amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: MN-11-020
State: Minnesota
Summary: Prescribed Drugs rates.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: MN-11-29
State: Minnesota
Summary: Procurement process for managed care contracts.
Approval Date:
Effective Date:
Topics:
  • Managed Care
Links:
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Transmittal Number: MI-12-001
State: Michigan
Summary: This amendment removes non-compliant State Plan language for covered excluded drugs.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: TN-11-010A
State: Tennessee
Summary: This SPA proposes to limit coverage for certain sedative hypnotic and opioid detoxification drugs for beneficiaries aged twenty-one years and older.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT