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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 1351 - 1360 of 15690

Colorado

Revises the inpatient hospital base rate methodology.

Approval Date: February 9, 2024
Effective Date: July 1, 2023

Alaska

This Medicaid State Plan amendment complies with Section 11405 of the Inflation Reduction Act (IRA) aligning the new mandatory coverage of Medicaid adult vaccinations and the administration of the vaccines without cost-sharing.

Approval Date: February 9, 2024
Effective Date: October 1, 2023

Massachusetts

This amendment is to update the standard Alternative Benefit Plan (ABP) to add doula services.

Approval Date: February 9, 2024
Effective Date: December 8, 2023
Topics: Alternative Benefit Plan

Massachusetts

This amendment is to update the care plus Alternative Benefit Plan (ABP) to add doula services.

Approval Date: February 9, 2024
Effective Date: December 8, 2023
Topics: Alternative Benefit Plan

North Carolina

This amendment increases the personal needs allowance for individual Medicaid recipients institutionalized from $30 to $70 and from $60 to $140 for married couples.

Approval Date: February 9, 2024
Effective Date: January 1, 2024

Maine

This amendment proposes to continue provisions previously approved through disaster relief SPAs.

Approval Date: February 9, 2024
Effective Date: May 12, 2023
Topics: Coverage and Reimbursement Home Health Medical Supplies & Devices Other Licensed Practitioners

Wyoming

This SPA proposes to update the the State’s Excluded Drug listing.

Approval Date: February 8, 2024
Effective Date: July 1, 2023
Topics: Coverage Covered Outpatient Drug Prescribed Drugs Prescription Drugs

Alaska
  1. The addition of diagnosis-related groups and a new disproportionate share hospital (DSH) category; and
  2. Removal of outdated language, grammar revisions, and updated organization structure.
Approval Date: February 8, 2024
Effective Date: January 1, 2024

New York

This plan proposes to provide Physician Supplemental UPL Payments to State University of New York (SUNY).

Approval Date: February 7, 2024
Effective Date: April 1, 2022

New York

This plan proposes to provide Physician Supplemental UPL Payments to Roswell Park Cancer Institute.

Approval Date: February 7, 2024
Effective Date: April 1, 2022