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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 1531 - 1540 of 15689

Kansas

The purpose of this state plan amendment is to enroll Medicaid eligible beneficiaries on a mandatory basis into managed care organizations.

Approval Date: December 14, 2023
Effective Date: January 1, 2024

Louisiana

This amendment is to include new resource disregards in its state plan for purposes of determining financial eligibility for certain Medicaid eligibility groups.

Approval Date: December 13, 2023
Effective Date: July 20, 2023
Topics: Eligibility Medicaid and CHIP Program (MACPro)

Mississippi

This SPA provides Mississippi with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.

Approval Date: December 13, 2023
Effective Date: April 1, 2023
Topics: Benefits Medicaid and CHIP Program (MACPro)

Ohio

This plan updates the rates for Ambulatory Health Care Clinics (AHCCs), Dialysis Center Services.

Approval Date: December 13, 2023
Effective Date: January 1, 2024

Oregon

This amendment complies with Section 11405 of the Inflation Reduction Act (IRA) adding new mandatory coverage of Medicaid adult vaccinations.

Approval Date: December 13, 2023
Effective Date: October 1, 2023

Oregon

This amendment adds Certified Recove1y Mentors (CRM) under the 'Other Licensed Practitioner' into the Oregon state plan.

Approval Date: December 13, 2023
Effective Date: October 1, 2023
Topics: Other Licensed Practitioners

Louisiana

The purpose of this SPA is to amend the provisions governing disproportionate share hospital (DSH) payments to increase reimbursement for DSH eligible services provided by hospitals through a cooperative endeavor agreement with the Office of Behavioral Health(OBH), in order to align the rate for OBH approved DSH days with the Medicaid inpatient psychiatric per diem rate on file for freestanding psychiatric hospitals.

Approval Date: December 13, 2023
Effective Date: December 1, 2023

Rhode Island

On September 20, 2023, CMS received Rhode Island State Amendment RI-23-0010 for CEDAR Health Homes. EOHHS is seeking approval from CMS to update Rhode Island’s Medicaid State Plan to implement a change in the rate methodology for Cedar Family Centers.

Approval Date: December 13, 2023
Effective Date: July 1, 2023

New York

This plan proposes a minimum wage adjustment for clinics.

Approval Date: December 12, 2023
Effective Date: January 1, 2022

New York

This plan proposes updates to remove the “Behavioral Health Utilization Controls” payment reductions for clinics.

Approval Date: December 12, 2023
Effective Date: July 1, 2022