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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 1721 to 1730 of 2108 results
Transmittal Number: ME-22-0025
State: Maine
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 revise the previously approved date for payment of retention bonuses to direct support workers pursuant to the American Rescue Plan Act (ARP) of 2021, Section 9817 (Pub. L. 117-2). Payment by agencies to staff must occur between July 1, 2021 and December 31, 2022.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: IL-22-0027
State: Illinois
Summary: provides for a rate increase for Early Intervention Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: UT-22-0003
State: Utah
Summary: updates pricing for medical supplies and DME
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MT-22-0009
State: Montana
Summary: This SPA authorizes coverage and reimbursement of COVID-19 vaccine and vaccine administration, in compliance with the American Rescue Plan (ARP) Act of 2021.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: MT-22-0010
State: Montana
Summary: This SPA provides coverage and reimbursement of COVID-19 testing in compliance with the American Rescue Plan (ARP) Act of 2021.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: MT-22-0011
State: Montana
Summary: This SPA authorizes coverage and reimbursement of COVID-19 treatment, including treatment of a condition that could complicate treatment of COVID-19, in compliance with the American Rescue Plan (ARP) Act of 2021.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: MA-22-0013
State: Massachusetts
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 add a temporary 12% rate increases for home health aides.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: PA-22-0018
State: Pennsylvania
Summary: This amendment proposes to establish a new class of supplemental payments to acute care general hospitals.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: AR-22-0013
State: Arkansas
Summary: allows the Arkansas Department of Human Services to amend their Long Term Care reimbursement manual to update its payment methodology for skilled nursing facilities. These revisions were necessary due to changes in the skilled nursing facility standards over the past several years.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: SC-22-0003
State: South Carolina
Summary: increases South Carolina Psychiatric Residential Treatment Facility (PRTF) facility rates to $500 per patient day (PPD).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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