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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 401 to 410 of 556 results
Transmittal Number: SD-22-0005
State: South Dakota
Summary: The SPA updates the state's coverage of organ transplant to more accurately reflect current state practice.
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Transmittal Number: NH-22-0018
State: New Hampshire
Summary: NH entered into a contract with a new broker for non-emergency medical transportation. This amendment is being submitted to specify in the State Plan that effective May 1, 2022, the state changed the reimbursement methodology from a per member per month risk capitated rate.
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Transmittal Number: MD-22-0010
State: Maryland
Summary: To update State Plan language regarding the EPSDT program, including eligible provider types, clarifying limitations to dental and audiological services, and removing references to the 504 Written Individualized Program.
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Transmittal Number: NH-21-0027
State: New Hampshire
Summary: Added a new 1915(i)HCBS Benefit.
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Topics:
  • Benefits
  • Coverage
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Transmittal Number: OK-22-0019
State: Oklahoma
Summary: Eliminates community based extended and community based transitional level of care.
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Transmittal Number: KS-22-0011
State: Kansas
Summary: This amendment removed age limits from the mobile crisis services covered by Kansas State plan.
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Transmittal Number: MO-22-0011
State: Missouri
Summary: This State Plan Amendment adds coverage of the routine patient costs furnished in connection with participation in clinical trials as outlined in Section l 905(gg) in the Social Security Act.
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Transmittal Number: MI-22-0004
State: Michigan
Summary: Pertaining to the coverage of medically necessary organ and tissue transplant procedures and related services.
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Transmittal Number: MA-22-0004
State: Massachusetts
Summary: Effective January 21, 2022 this amendment proposes to add coverage for acupuncture services.
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Transmittal Number: OH-22-0007
State: Ohio
Summary: To establish coverage and payment for lactation consulting services, nurse home visiting services, and revise payment rates for group prenatal education as part of Ohio’s Maternal and Infant Support Program.
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Effective Date:
Topics:
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