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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 1551 - 1560 of 15690

Idaho

Amendment to the State Plan to implement a new price-based methodology for private nursing facilities and cost-based methodology for state-owned nursing facilities.

Approval Date: December 11, 2023
Effective Date: July 1, 2021

Massachusetts

This plan amendment updates the methods and standards used to determine the rates of Personal Care Assistants.

Approval Date: December 11, 2023
Effective Date: September 1, 2023

Iowa

This Plan revises the new name of the single state agency to reflect Iowa Department of Health and Human Services.

Approval Date: December 11, 2023
Effective Date: July 1, 2023
Topics: Medicaid and CHIP Program (MACPro)

Nebraska

With this Amendment the state will disregard the resource value of certain vehicles under the authority of section 1902(r)(2) of the Act.

Approval Date: December 11, 2023
Effective Date: September 1, 2023
Topics: Eligibility Medicaid and CHIP Program (MACPro)

Tennessee

This amendment is to update the state plan to reflect the current Preadmission Screening and Annual Resident Review process.

Approval Date: December 11, 2023
Effective Date: July 1, 2023
Topics: Inpatient Program Administration

Nebraska

This SPA authorizes increased federal financial participation (FFP) for newly-eligible individuals receiving postpartum coverage and further includes the addition of Attachment D, which describes the special circumstances and other proxy adjustments that are applied to account for the proportion of individuals covered under the extended postpartum coverage option who would otherwise be eligible for coverage in the adult group and for the newly eligible FFP under section 1905(y) of the Social Security Act;

Approval Date: December 8, 2023
Effective Date: January 1, 2024

Nebraska

This SPA provides Nebraska with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.

Approval Date: December 8, 2023
Effective Date: January 1, 2024

Massachusetts

This plan amendment updates the methods and standards used to determine the rates of payment for Acute Outpatient Hospital services.

Approval Date: December 8, 2023
Effective Date: July 21, 2023

Ohio

This plan provides a one-time provider payment to Freestanding Dialysis Centers.

Approval Date: December 8, 2023
Effective Date: October 2, 2023

Arkansas

This amendment implements coverage and reimbursement of adult ( age 19 and over) immunizations and administration without cost sharing, when required according to the recommendations of the Advisory Committee on Immunization Practices (ACIP).

Approval Date: December 8, 2023
Effective Date: October 1, 2023
Topics: Coverage and Reimbursement