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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 1481 to 1490 of 2110 results
Transmittal Number: OR-22-0026
State: Oregon
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to provide incentive payments to residential facilities to encourage discharges from hospitals.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: LA-22-0037
State: Louisiana
Summary: The purpose of this SPA is to amend the provisions governing reimbursement for personal care services (PCS) provided to beneficiaries in the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program in order to remove outdated language regarding a wage enhancement that is not applicable to the current EPSDT-PCS program.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MD-22-0025
State: Maryland
Summary: This amendment rebases the rate for Residential Treatment Centers to $850 per day, updated annually based on CMS published market basket increase percentage relating to hospitals.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MN-23-0006
State: Minnesota
Summary: This plan amendment updates the rates for Adult Foster Care.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: LA-22-0035
State: Louisiana
Summary: The purpose of this SPA is to amend the provisions governing inpatient hospital services in order to expand the qualifications for classification as a teaching hospital to include facilities that have documented affiliation agreements with Louisiana medical schools accredited by the Commission of Osteopathic College Accreditation (COCA).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ME-22-0034
State: Maine
Summary: This plan amendment authorizes a 4.9% rate increase for Family Planning and Supplies

services that do not have a Medicare rate.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CA-22-0002
State: California
Summary: This amendment is to add doula services under the preventive services benefit and as a professional service under the freestanding birth center benefit.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
Links:
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Transmittal Number: ME-22-0029
State: Maine
Summary: This plan amendment updates the reimbursement methodology for physician services,

family planning and supplies, nurse-midwife services, and nurse practitioner services to the lower

of provider charges or 72.4% of the current corresponding Medicare rate, updates the fee schedule

for those services not covered by Medicare, and removes outdated provisions related to the

Primary Care Case Management (PCCM) program.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ID-21-0003
State: Idaho
Summary: Effective for services on or July 1,2021, this amendment updates the supplemental payment methodology to hospitals for inpatient and outpatient services. Specifically, these changes will associate supplemental payments with quality of services and participation in the Healthy Connections Value Care (HCVC) program, further linking inpatient and outpatient hospital services to quality and value of patient care.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: UT-22-0001
State: Utah
Summary: The proposed amendment updates reimbursement for Federally Qualified Health Centers

and Rural Health Clinics, and clarifies Prospective Payment and Alternative Payment

Methodologies.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT