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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 1521 to 1530 of 2110 results
Transmittal Number: TN-22-0004
State: Tennessee
Summary: This SPA introduces methods and standards for establishing payment rates for Inpatient Hospital Services and payments for Graduate Medical Education.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MD-22-0023
State: Maryland
Summary: For dates of service beginning August 1, 2022, the Department is establishing reimbursement methods for vaccine administration for federally purchased vaccines to adults (e.g. COVID-19). MDH is providing payment for administration of monkeypox and/or smallpox vaccinations at a rate of $23.28 per dose.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MA-21-0024
State: Massachusetts
Summary: This plan amendment updates implements supplemental payments for nonpublic ambulance providers.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CT-22-0025
State: Connecticut
Summary: This amendment implements an acuity-based reimbursement methodology for nursing facilities phased in over a

three-year period.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: IA-22-0013
State: Iowa
Summary: This SPA proposes a wage add-on for ICF/IID rates for SFY 2023.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MA-22-0031
State: Massachusetts
Summary: This plan amendment updates payment methodology to revise the rates for home health services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NH-22-0019
State: New Hampshire
Summary: This plan updates the reimbursement methodology for eyeglasses following a new vision contract.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NH-22-0043
State: New Hampshire
Summary: This plan updates the reimbursement methodology for ambulance services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NH-22-0026
State: New Hampshire
Summary: This plan updates the reimbursement methodology for freestanding birth centers.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MS-22-0026
State: Mississippi
Summary: State Plan Amendment (SPA) 22-0026 is being submitted to allow the Division of Medicaid (DOM) to update the rates for ambulatory surgical centers (ASCs) October 1 of each year, based on the Medicare rate in effect July 1 of that year.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT