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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 1531 to 1540 of 2110 results
Transmittal Number: MA-22-0029
State: Massachusetts
Summary: This plan amendment updates the payment methodology

for durable medical equipment and supplies (DME).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-22-0032
State: Connecticut
Summary: This plan updates rates under the Connecticut Home Care Program for Elders (CHCPE).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-22-0019
State: Arkansas
Summary: This SPA updates reimbursement for prosthetic and orthotic supplies.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MA-22-0030
State: Massachusetts
Summary: This plan amendment updates the payment methodology for clinical laboratory services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AK-22-0015
State: Alaska
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to increase pharmacy dispensing fees.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AK-22-0011
State: Alaska
Summary: This submission complies with the American Rescue Plan (ARP) Act of 2021. ARP requires coverage of COVID-19 vaccines, testing, treatment, and treatment of a condition that could complicate the treatment of COVID-19 in Medicaid.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ME-22-0042
State: Maine
Summary: This amendment proposes to adjust the Accountable Communities (AC) total cost of care (TCOC) reconciliation for year seven (PY7), which covers August 2020 through July 2021.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CA-22-0053
State: California
Summary: This SPA updates the rate setting methodology for clinical laboratory and laboratory services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CA-22-0040
State: California
Summary: This SPA authorizes supplemental add-on payments to the fee schedule rates for eligible ground emergency medical transports provided July 1, 2022 through June 30, 2023.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CA-22-0039
State: California
Summary: This SPA exempts specified providers from the reduction specified in paragraphs (6) through (13), set forth on pages 3.1 through 3.4 of Attachment 4.19-B. In addition, NEMT base rates and supplemental payments are adjusted to maintain reimbursement levels following their exemption from the reduction.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT