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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 451 - 460 of 15689

Puerto Rico

To add non-emergency transportation (NEMT) services.

Approval Date: November 20, 2024
Effective Date: July 1, 2024

Colorado

This amendment establishes specific guidelines and limitations for the Intensive Outpatient Program (IOP) substance use disorder services.

Approval Date: November 19, 2024
Effective Date: September 1, 2024

Connecticut

This plan amendment increases the rates for long-acting reversible contraceptive (LARC) devices.

Approval Date: November 19, 2024
Effective Date: May 1, 2024

Oklahoma

This amendment is to streamline behavioral health workforce credentialing and modifies qualifications for Case Managers I and II.

Approval Date: November 19, 2024
Effective Date: September 1, 2024

Mississippi

This plan amendment updates the Medicare Equivalent of the average commercial rate (ACR) ratio and remove other professional practitioners.

Approval Date: November 19, 2024
Effective Date: April 1, 2024

Oklahoma

This plan amendment reimburses CRNAs at a rate of 100 percent of the allowable for physicians for anesthesia services in collaboration with a licensed medical doctor, osteopathic physician, podiatric physician, or dentist.

Approval Date: November 19, 2024
Effective Date: September 1, 2024

Oregon

This plan amendment changed the reimbursement methodology for publicly owned Ground Emergency Medical Transportation (GEMT) providers from a cost-based reimbursement methodology to a uniform add-on rate.

Approval Date: November 19, 2024
Effective Date: July 1, 2024

Alabama

This plan amendment amends language in Alabama Primary care Physician Coordinated Health Network to align with ACHN program changes.

Approval Date: November 19, 2024
Effective Date: October 1, 2024

Connecticut

This plan amendment updates procedure codes and fee schedules while also adding reimbursement for donated human breast milk to eligible infants.

Approval Date: November 19, 2024
Effective Date: April 1, 2024

Connecticut

This plan amendment establishes a bundled payment methodology for maternity services.

Approval Date: November 19, 2024
Effective Date: January 1, 2025