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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 561 - 570 of 15692

Illinois

This amendment adds coverage for the human papillomavirus (HPV) vaccine for persons 46 years of age or older who meet certain medical criteria.

Approval Date: October 23, 2024
Effective Date: January 1, 2025

Oregon

This SPA increases the prescription drug professional dispensing fee.

Approval Date: October 22, 2024
Effective Date: November 1, 2024
Topics: Professional Dispensing Fee

North Dakota

This amendment adds school psychologists as an Other Licensed Practitioner.

Approval Date: October 21, 2024
Effective Date: July 1, 2024

Missouri

This Amendment complies with the final rule that requires Health Home Core Set(s) to be a mandatory reporting element beginning 2024 pursuant to 42 CFR §§ 437.10 and 437.15.

Approval Date: October 21, 2024
Effective Date: October 1, 2024
Topics: Medicaid and CHIP Program (MACPro)

Missouri

This Amendment complies with the final rule that requires Health Home Core Set(s) to be a mandatory reporting element beginning 2024 pursuant to 42 CFR §§ 437.10 and 437.15.

Approval Date: October 21, 2024
Effective Date: October 1, 2024
Topics: Medicaid and CHIP Program (MACPro)

Missouri

This amendment will comply with the final rule that requires Health Home Core Set(s) to be a mandatory reporting element beginning 2024 pursuant to 42 CFR §§ 437.10 and 437.15.

Approval Date: October 21, 2024
Effective Date: October 1, 2024
Topics: Medicaid and CHIP Program (MACPro)

North Dakota

This amendment will combine skills restoration with skills integration and add additional practitioners to various services.

Approval Date: October 18, 2024
Effective Date: July 1, 2024
Topics: Coverage Other Licensed Practitioners

Oregon

This amendment is to expand the Targeted Case Management Family Connects Nurse Home Visiting program into Lane County.

Approval Date: October 18, 2024
Effective Date: November 1, 2024
Topics: Targeted Case Management

South Dakota

This amendment eliminates cost sharing for medical services.

Approval Date: October 18, 2024
Effective Date: July 1, 2024

New York

This plan amendment adds a Cost-of-Living Adjustment (COLA) to support a five-point four percent (5.4%) increase to Specialty Hospital operating rates of payment until such time as the COLA increase is reflected in the base period cost reports.

Approval Date: October 17, 2024
Effective Date: April 1, 2022