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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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Showing 1621 to 1630 of 2095 results
Transmittal Number: AK-22-0007
State: Alaska
Summary: Update to the effective date for reimbursement rates for Residential Psychiatric under 21 Benefit.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: AZ-22-0020
State: Arizona
Summary: This amendment updates the fee schedule for long term acute care and rehabilitation hospital inpatient rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: OH-22-0025
State: Ohio
Summary: Proposes to update the state plan to clarify the recipient direct reimbursement program and specify the conditions for payment.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: MI-22-0010
State: Michigan
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to adjust incontinence supply competitive bid rates.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: NV-22-0013-A
State: Nevada
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to rescind the establishment of the COVID laboratory testing reimbursement rate at 100% of Medicare that was approved on June 18, 2020 under SPA NV-20-0009.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: AZ-21-0014
State: Arizona
Summary: This amendment updates the amounts of Arizona's graduate medical education and indirect medical education payment pools and the qualifying hospital list for each payment pool for the fiscal period ending June 30, 2022.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: LA-22-0019
State: Louisiana
Summary: This SPA is to amend the provisions governing intermediate care facilities for individuals with intellectual disabilities (ICF/IID) and nursing facilities (NF) to allow adjustments to the Medicaid daily rate when changes occur that are recognized in cost reports.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NH-22-0031
State: New Hampshire
Summary: This amendment adds cost reconciliation language to the state plan for state government-owned nursing facility services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: IA-22-0012
State: Iowa
Summary: Implements an increase for Rural Home Health Provider LUPA rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: MD-22-0009
State: Maryland
Summary: This action assures that Maryland’s coverage and reimbursement for COVID-19 vaccines, testing, and treatment during the mandatory American Rescue Plan (ARP) period aligns with section 1905(a)(4)(F) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Reimbursement
Links:
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