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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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Displaying 13241 - 13250 of 15713

Minnesota
Procurement process for managed care contracts.
Approval Date: March 26, 2012
Effective Date: January 1, 2012
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Topics: Managed Care
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North Carolina
This SPA proposes to provide supplemental payments to the non-state government and private hospital's up to the Medicare upper payment limit, eliminate the CPE funding method for Medicaid services provided by non-state government hospitals and implement a provider assessment.
Approval Date: March 26, 2012
Effective Date: January 1, 2011
Links:
Topics: Financing & Reimbursement
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Mississippi
The amendment was submitted to appropriately set the rates for Ambulatory Surgical Centers (ASC) at 80 percent of the current Medicare Ambulatory Surgical Center Payment System. This methodology further allows the Division of Medicaid to update the ASC codes and rates annually based on the Medicare annual updates.
Approval Date: March 23, 2012
Effective Date: January 1, 2012
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Topics: Program Administration
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Arkansas
The amendment will add Provider Screening and Enrollment to the Medicaid Program. No tribal consultation was required.
Approval Date: March 23, 2012
Effective Date: July 1, 2012
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Topics: Program Administration
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Washington
Recovery Audit Contractors.
Approval Date: March 23, 2012
Effective Date: January 1, 2012
Links:
Topics: No topics available
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Vermont
This SPA transmitted a proposed amendment to your approved Title XIX State plan to implement section 4107 of the Affordable Care Act. This Affordable Care Act provision amended section 1905(a)(4) of the Social Security Act to add a new subsection (D) to provide Medicaid coverage of comprehensive tobacco cessation services for pregnant women. including both counseling and pharmacotherapy. without cost sharing.
Approval Date: March 23, 2012
Effective Date: October 1, 2012
Links:
Topics: Current State Plan
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Colorado
This SPA implements a simplified process for clients to apply for Medicaid using express lane eligibility.
Approval Date: March 23, 2012
Effective Date: November 14, 2012
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Topics: Eligibility Program Administration
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Pennsylvania
Extends Medicaid coverage to lawfully residing children under the age of21 and pregnant women who are otherwise eligible for Medicaid.
Approval Date: March 22, 2012
Effective Date: July 1, 2009
Links:
Topics: Eligibility
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District of Columbia
This SPA creates a new Medicaid-reimbursable program that will address adult substance abuse and adult substance dependence. Both substance abuse and substance dependence treatments will be encompassed within seven service categories.
Approval Date: March 22, 2012
Effective Date: March 17, 2012
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Topics: Financing & Reimbursement
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Iowa
Updates the description of Iowa's Medical Managed Health Care program to reflect the participation of a managed care organization in the program.
Approval Date: March 22, 2012
Effective Date: March 1, 2012
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Topics: Program Administration
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