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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 1391 - 1400 of 15689

Indiana

This amendment brings Indiana into compliance with the Inflation Reduction Act which required that all Advisory Committee on Immunization Practices (ACIP) recommended vaccines be covered by Medicaid without cost sharing.

Approval Date: January 30, 2024
Effective Date: October 1, 2023

Mississippi

This amendment proposes to allow the Division of Medicaid to revise Non-Emergency Transportation (NET) broker reimbursement in accordance with an emergency contract.

Approval Date: January 30, 2024
Effective Date: October 1, 2023
Topics: Coverage Reimbursement Transportation

North Carolina

This amendment adds a tribal consultation process for Indian Health Services Facilities and Urban Indian Organizations.

Approval Date: January 29, 2024
Effective Date: October 1, 2023
Topics: Indian Health Services Program Administration Tribal/Indian Health Issues

Ohio

Nursing Facility Services Case Mix Reimbursement Changes.

Approval Date: January 29, 2024
Effective Date: October 1, 2023

North Dakota

This amendment amends the State Plan to add coverage of adult vaccines and to update vaccines rates quarterly.

Approval Date: January 29, 2024
Effective Date: October 1, 2023
Topics: Coverage and Reimbursement

New Mexico

This amendment is to include provisional certification to the accreditation standards as specified in 42 CFR part 8, subparts A & B.

Approval Date: January 29, 2024
Effective Date: November 1, 2023

Arkansas

This amendment updates and correct the Medicaid State Plan coordination of Triage, Treatment and Transport to an Alternative Destination.

Approval Date: January 29, 2024
Effective Date: January 1, 2024

Kansas

This amendment is to update the state plan to indicate that, in accordance with Section 12006 of the 21^st^ Century Cures Act, the state complies with the Electronic Visit Verification System (EVV) requirements for home health services.

Approval Date: January 26, 2024
Effective Date: January 1, 2024

Missouri

Annual assurance of the pharmacy program's adherence to the FULs requirement of federal regulation regarding expenditures for multiple source drugs.

Approval Date: January 26, 2024
Effective Date: October 1, 2023
Topics: Prescribed Drugs Program Administration

Maine

This amendment proposed to memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Maine's state plan.

Approval Date: January 26, 2024
Effective Date: January 1, 2024