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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 571 to 579 of 579 results
Transmittal Number: CO-20-0001
State: Colorado
Summary: Adds residential and inpatient SUD treatment and withdrawal management services as covered services
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Coverage
Links:
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Transmittal Number: VA-20-0018
State: Virginia
Summary: This SPA proposes to allow coverage for select maintenance drugs for up to 90 days for Medicaid members after the end of the federal emergency period.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SC-20-0008
State: South Carolina
Summary: This SPA includes reimbursement methods that use, among others, the National Average Drug Acquisition Cost (NADAC), plus a professional dispensing fee of $10.50 for covered outpatient drugs. This SPA also includes reimbursement rates for 340B drugs, long-term care and specialty drugs, drugs purchased at a nominal price, and physician administered drugs.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
  • Covered Outpatient Drug
Links:
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Transmittal Number: ME-20-0003
State: Maine
Summary: Establishes an alternative payment methodology for Rural Health Clinics based on 100% of the average of the reasonable cost of providing MaineCare-covered services during calendar years 2016 and 2017 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Coverage
Links:
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Transmittal Number: VA-20-0011
State: Virginia
Summary: Updates coverage and documentation requirements for enteral nutrition and allow the use of implantable pumps for delivering home infusion therapy
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: OH-20-0017
State: Ohio
Summary: Inpatient Hospital Services: Cost Coverage Add-On Updates
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: AZ-20-0010
State: Arizona
Summary: Clarifies the coverage of naturopathic physicians
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: VT-20-0001
State: Vermont
Summary: Covers medication therapy management services when provided by an office-based clinical pharmacist operating under their scope of practice at a Federally Qualified Health Center or Rural Health Clinic
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: ME-22-0030
State: Maine
Summary: This amendment proposes to amend dental reimbursement, while expanding and enhancing covered dental services.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT