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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 1331 to 1340 of 2111 results
Transmittal Number: TX-23-0007
State: Texas
Summary: The proposed amendment updates the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program fee schedule.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MS-23-0003
State: Mississippi
Summary: Mississippi Medicaid State Plan Amendment (SPA) 23-0003 Home Health Services was submitted to remove rate freeze language and allow reimbursement to be updated annually based on cost reports.
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Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: NY-20-0059
State: New York
Summary: This State Plan Amendment proposes to extend the sunset date for the School Supportive Health Services Program Certified Public Expenditure reimbursement methodology to June 30th, 2023.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: SC-23-0001
State: South Carolina
Summary: This SPA updates the rates for Personal Care Services and Private Duty Nursing.
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Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: OH-23-0005
State: Ohio
Summary: This plan updates the rates for Non-Institutional Payment Schedules.
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Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NH-23-0014
State: New Hampshire
Summary: This plan updates rates and methodology for Laboratory Genetic Testing.
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Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: NY-21-0031
State: New York
Summary: This plan implements supplemental payments for county for freestanding clinics and diagnostic and treatment centers (DTCs).
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Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: TX-23-0008
State: Texas
Summary: The proposed amendment updates the fee schedules for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies and Hearing Aids and Audiometric Evaluations.
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Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: OH-23-0004
State: Ohio
Summary: This plan updates the rates for Child and Adolescent Needs and Strengths (CANS).
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Effective Date:
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  • Reimbursement
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Transmittal Number: NY-22-0057
State: New York
Summary: This amendment proposes to provide nursing homes and specialty care facilities a 1% increase.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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