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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.

Results

Displaying 1851 - 1860 of 15693

Indiana

This amendment grants an exemption to the requirement for Indiana to contract recovery audit services to a third party.

Approval Date: September 29, 2023
Effective Date: October 1, 2023
Topics: Program Administration

Massachusetts

This amendment adds enhanced mobile crisis services to the Medicaid state plan.

Approval Date: September 29, 2023
Effective Date: January 1, 2023
Topics: Benefits Reimbursement

Michigan

Renews authorization for the provision of nursing facility transition services to individuals who currently reside in a nursing facility and have expressed a desire to return to the community, but who have barriers to a nursing facility discharge.

Approval Date: September 28, 2023
Effective Date: October 1, 2023
Topics: Home and community based services

Iowa

This plan amendment implements new dental payment rate adjustments.

Approval Date: September 28, 2023
Effective Date: July 1, 2023

California

Renews the rate setting methodology for freestanding skilled nursing facilities Level -B (FS/NF-B) and freestanding adult subacute facilities (FSSA) and provides a 2.4 percent increase in statewide weighted average Medi-Cal reimbursement rate for FS/NF-B and FSSA facilities

Approval Date: September 28, 2023
Effective Date: January 1, 2022

Utah

Update to inpatient hospital services reimbursement methodology

Approval Date: September 28, 2023
Effective Date: July 1, 2023

Iowa

Update the non-aggregate quality assurance assessments to the maximum aggregate non-Medicare revenues of a nursing facility.

Approval Date: September 28, 2023
Effective Date: April 1, 2023

New York

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 extends ARPA Initiative regarding PDN_C19 Test and Specimen Collection.

Approval Date: September 27, 2023
Effective Date: May 12, 2023
Topics: Coverage Disaster Relief

Oregon

This amendment is to add additional providers into the other licensed providers section of the state plan.

Approval Date: September 27, 2023
Effective Date: July 1, 2023
Topics: Other Licensed Practitioners

Washington

This SPA proposes to update the state’s Preferred Drug List if drug shortages occur.

Approval Date: September 27, 2023
Effective Date: July 1, 2023
Topics: Preferred Drug Lists Prescribed Drugs