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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 13091 - 13100 of 15726

Wisconsin
Provider Screening and Enrollment.
Approval Date: May 30, 2012
Effective Date: January 1, 2012
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Texas
The plan amendment updates the physician and other licensed practitioners fee schedule, including all components of the effective date language in the State Plan. The amendment change does not have a direct impact on Indians, Indian Health Programs, or Urban Indian organizations.
Approval Date: May 30, 2012
Effective Date: March 1, 2012
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Topics: Financing & Reimbursement
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Texas
The plan amendment provides cost reimbursement for ambulance services furnished by government providers, changing the interim rate which will be settled to cost. The amendment change will not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Approval Date: May 30, 2012
Effective Date: August 1, 2011
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Topics: Financing & Reimbursement
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Washington
This amendment is to implement the Medicaid/Children's Health Insurance Program (CHIP) Provider Screening and Enrollment provision under Section 6401 of the Affordable Care Act and Section 1866(j)(2)(A) of the Act to establish procedures under which screening is conducted with respect to providers of medical or other forms of service under Medicare, Medicaid and CHIP.
Approval Date: May 30, 2012
Effective Date: January 1, 2012
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Topics: No topics available
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Oregon
This transmittal is being submitted to implement Section 6401(a) of the Affordable Care Act-provider screening and enrollment assurances.
Approval Date: May 30, 2012
Effective Date: April 1, 2012
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Topics: No topics available
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Florida
This SPA is for implementation of an electronic Asset Verification System (AVS) that will verify the assets of blind, aged or disabled applicants and recipients of Medicaid as required by Section 1940 of the Social Security Act.
Approval Date: May 30, 2012
Effective Date: January 1, 2012
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Topics: No topics available
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New York
This amendment denies additional Medicaid payments for costs incurred for potentially preventable conditions in the inpatient hospital setting.
Approval Date: May 25, 2012
Effective Date: July 1, 2011
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Topics: No topics available
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Michigan
This amendment brings the State into compliance with Federal requirements with respect to non-payment for provider-preventable conditions.
Approval Date: May 25, 2012
Effective Date: July 1, 2011
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Topics: Program Administration
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Idaho
his SPA reduces the amount, duration and scope of dental services available to individuals over the age of twenty-one, limiting the dental benefit package to emergency and medically necessary oral surgery and palliative services and associated diagnostic services. The benefit changes apply to non-pregnant adults over the age of twenty-one (21), who are eligible for Medicaid's Basic or Enhanced plans.
Approval Date: May 25, 2012
Effective Date: July 1, 2011
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Topics: Dental
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Illinois
Pharmacy services - Wholesale acquisition cost reimbursement methodology.
Approval Date: May 25, 2012
Effective Date: February 1, 2012
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Topics: Financing & Reimbursement
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