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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 1811 - 1820 of 15689

South Carolina

This amendment proposes to consolidate Registered Nurse (RN) and Licensed Practical Nurse (LPN) services into one consolidated nursing service and revises policy for reimbursement to family members under the Early and Periodic Screening Diagnosis and Treatment (EPSDT) benefit.

Approval Date: October 11, 2023
Effective Date: July 1, 2023
Topics: Coverage and Reimbursement Other Licensed Practitioners

Washington

This state plan amendment clarifies coverage of crisis intervention services and service rates.

Approval Date: October 10, 2023
Effective Date: January 1, 2024
Topics: Benefits Reimbursement

Georgia

This amendment proposes to include coverage for blood pressure monitors with an effective date of July 1, 2023.

Approval Date: October 10, 2023
Effective Date: July 1, 2023
Topics: Coverage Medical Supplies & Devices

Oklahoma

This amendment proposes to revise the State's Supplemental Rebate Agreement to update the applicable date of the new Sovereign States Drug Consortium (SSDC) rebate agreement.

Approval Date: October 6, 2023
Effective Date: January 1, 2024
Topics: Rebate/Reimbursement Updates

Maine

This amendment proposed to increase the maximum income eligibility standard for children under 21.

Approval Date: October 6, 2023
Effective Date: October 1, 2023
Topics: Eligibility Medicaid and CHIP Program (MACPro)

Mississippi

Allow the Division of Medicaid (DOM) to change the payment per resident.

Approval Date: October 6, 2023
Effective Date: July 1, 2023

North Dakota

Amends the State Plan to update the supplement payment for Critical Access Hospitals.

Approval Date: October 6, 2023
Effective Date: July 1, 2023

Minnesota

This plan amendment increases payment for services per the Minnesota Statute.

Approval Date: October 6, 2023
Effective Date: April 1, 2023

Montana

This amendment updates the reimbursement methodology for psychiatric residential treatment facility (PRTF) services for State Fiscal Year 2024.

Approval Date: October 5, 2023
Effective Date: July 1, 2023

Washington

Inpatient Sole Community Hospital Supplemental Payments.

Approval Date: October 5, 2023
Effective Date: July 1, 2023