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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 971 to 980 of 2112 results
Transmittal Number: MA-23-0044
State: Massachusetts
Summary: This plan amendment updates the methods and standards used to determine the rates of payment for Adult Day Health Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MA-23-0045
State: Massachusetts
Summary: This plan amendment updates the methods and standards used to determine the rates of payment for Adult Day Habilitation Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: SD-23-0017
State: South Dakota
Summary: This SPA implements the five-percent inflationary increase to the Health Home Per Member Per Month and Clinical outcome measure payment rates appropriated by its state legislature during the 2023 legislative session
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MO-23-0014
State: Missouri
Summary: On August 1, 2023, the Centers for Medicare and Medicaid services (CMS) received Missouri State Plan Amendment(SPA) MO-23-0014 to increase the Care Coordination component of the Primary Care Health Home Per-Member-Per-Month rate.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: WA-23-0010
State: Washington
Summary: This state plan amendment clarifies coverage of crisis intervention services and service rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
  • Benefits
Links:
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Transmittal Number: MS-23-0017
State: Mississippi
Summary: Allow the Division of Medicaid (DOM) to change the payment per resident.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: ND-23-0023
State: North Dakota
Summary: Amends the State Plan to update the supplement payment for Critical Access Hospitals.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: MN-23-0010
State: Minnesota
Summary: This plan amendment increases payment for services per the Minnesota Statute.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: MT-23-0012
State: Montana
Summary: This amendment updates the reimbursement methodology for psychiatric residential treatment facility (PRTF) services for State Fiscal Year 2024.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: WA-23-0030
State: Washington
Summary: Inpatient Sole Community Hospital Supplemental Payments.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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