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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 1561 - 1570 of 15690

Minnesota

This amendment makes changes to abortion, family planning, and doula services and rates.

Approval Date: December 8, 2023
Effective Date: January 1, 2024
Topics: Coverage and Reimbursement

District of Columbia

To expand the scope of covered transplant procedures to include small bowel and pancreas transplant procedures.

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

Kansas

This amendment adds Diabetes Self-Management Training (DSMT) benefits to the Kansas Medicaid State Plan as a preventive outpatient service for persons diagnosed with diabetes.

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

North Dakota

This amendment will end the Primary Care Case Management program.

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

Washington

This SPA updated the rates for outpatient Sole Community Hospitals.

Approval Date: December 7, 2023
Effective Date: July 1, 2023

Kansas

The ICF-IID Levels of Care structure and administration per diem rates are being revised.

Approval Date: December 7, 2023
Effective Date: October 1, 2023

Iowa

Update Psychiatric Medical Institution for Children (PMIC) rates in accordance with Iowa Senate File (SF) 561.

Approval Date: December 7, 2023
Effective Date: July 1, 2023

Iowa

Update nursing facility rates using a new cost report period and inflation factor in accordance with Iowa Senate File (SF) 561.

Approval Date: December 7, 2023
Effective Date: July 1, 2023

Missouri

private PRTF services due to increase appropriated by state legislature

Approval Date: December 7, 2023
Effective Date: July 15, 2023