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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 2141 - 2150 of 15826

Delaware
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 align the resumption of premiums with the end of the unwinding period and to assign dates to the temporarily extended suspension of member copays and premiums.
Approval Date: August 3, 2023
Effective Date: December 1, 2023
Topics: Disaster Relief Eligibility

Massachusetts
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 extend availability of hospital presumptive eligibility (HPE) to non-MAGI individuals.
Approval Date: August 3, 2023
Effective Date: May 12, 2023
Topics: Disaster Relief Eligibility

Washington
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 gradually decrease the enhanced supplemental payments during the period of April 1, 2023, through December 31, 2023 for Inpatient & Outpatient Supplemental Payments Post-PHE Unwind (Safety Net Assessment Fund).
Approval Date: August 3, 2023
Effective Date: April 1, 2023
Topics: Disaster Relief Reimbursement

Washington
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 gradually decrease the enhanced supplemental payments during the period of April 1, 2023, through December 31, 2023 for supplemental payments for Small Rural Disproportionate Share Hospitals.
Approval Date: August 3, 2023
Effective Date: April 1, 2023
Topics: Disaster Relief Reimbursement

Ohio

To add transportation as an allowable rural health clinic service and dietician services as allowable rural health clinic and federally qualified health center services.

Approval Date: August 3, 2023
Effective Date: July 1, 2022

Kentucky

To remove cost sharing requirements from the state plan.

Approval Date: August 2, 2023
Effective Date: April 1, 2023

Missouri

This amendment allows occupational therapy assistants, physical therapy assistants, and speech language pathology assistants to enroll as MO HealthNet providers and bill for covered services provided to eligible MO HealthNet participants.

Approval Date: August 2, 2023
Effective Date: November 1, 2023

Michigan

This SPA provides traditional state plan authority for the FY2022 and FY2023 rate setting methodology established in DR SPA 21-0015, DR SPA 22-0013, and DR SPA 23-0007. This is necessary to complete the final rate settlements for each fiscal year.

CMS is issuing this technical correction package to include the final submitted revision to Section IV Page 27. CMS included an earlier version that did not describe which cost report is used in the absence of the state plan defined cost report.

Approval Date: August 2, 2023
Effective Date: May 12, 2023

Kansas

This amendment is to establish coverage of dentures and partials for adults who meet medical necessity criteria.

Approval Date: August 2, 2023
Effective Date: July 1, 2023
Topics: Coverage Reimbursement

New Hampshire

This plan updates Critical Access Hospital Supplemental Access Payments (Outpatient).

Approval Date: August 1, 2023
Effective Date: July 1, 2022