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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 101 - 110 of 15692

Maine

This plan amendment updates the payment methodology for case management services.

Approval Date: March 21, 2025
Effective Date: January 1, 2024

Massachusetts

This amendment proposes to update the payment methodologies for Medicare crossover payments for certain Durable Medical Equipment services.

Approval Date: March 21, 2025
Effective Date: October 1, 2024
Topics: Medicaid-Medicare Issues Reimbursement

Massachusetts

This plan amendment updates rates for Mental Health Centers.

Approval Date: March 21, 2025
Effective Date: November 7, 2024

Maine

This plan amendment updates the pool amount for outpatient supplemental payments made to noncritical access hospitals.

Approval Date: March 21, 2025
Effective Date: November 15, 2024

American Samoa

This amendment adds Orthodontic services to the Early Periodic Screening, Diagnostics and Treatment (ESPDT) benefit for patients under age 21.

Approval Date: March 21, 2025
Effective Date: October 1, 2024
Topics: Coverage and Reimbursement

Maine

This plan amendment updates the payment methodology for case management services and certain
rehabilitative services.

Approval Date: March 21, 2025
Effective Date: January 1, 2023

Connecticut

This amendment is to update state plan assurances in accordance with federally mandated quality reporting requirements for the Home Health Core Set(s) of measures.

Approval Date: March 21, 2025
Effective Date: October 1, 2024
Topics: Medicaid and CHIP Program (MACPro) Program Administration

New Hampshire

This amendment is to memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under New Hampshire's state plan.

Approval Date: March 21, 2025
Effective Date: January 1, 2025
Topics: Coverage Eligibility Medicaid and CHIP Program (MACPro)

Maine

This plan amendment removes the approved annual inflationary increases for certain home health items.

Approval Date: March 20, 2025
Effective Date: December 31, 2024

Florida

This plan amendment updates the methodology for setting reimbursement rates for Federally Qualified Health Centers (FQHC) and Rural Health Centers (RHC).

Approval Date: March 20, 2025
Effective Date: October 1, 2024