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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 8201 - 8210 of 15875

North Dakota
This amendment provides for updates to the nursing facility reimbursement methodology.
Approval Date: September 11, 2017
Effective Date: June 1, 2017

Ohio
Coverage and Limitations, and Payment for Services and Ambulatory Health Care Clinic Services.
Approval Date: September 8, 2017
Effective Date: July 1, 2017
Topics: Benefits Financing & Reimbursement

North Carolina
This SPA clearly defines the comprehensiveness issues regarding the reimbursement methodology for the State operated dental school, University of North Carolina School Of Dentistry.
Approval Date: September 8, 2017
Effective Date: July 1, 2014
Topics: Dental Program Administration

Oregon
This SPA removes the exclusion that currently exists for hippo-therapy.
Approval Date: September 7, 2017
Effective Date: October 1, 2017
Topics: Benefits Program Administration

Louisiana
This state plan amendment proposes to exclude the Louisiana Health Insurance Premium Payment (LAHIPP) enrollees from participation in managed care for physical and behavioral health.
Approval Date: September 7, 2017
Effective Date: April 20, 2017

Maryland
The purpose of this SPA is to combine nurse anesthetist, nurse midwife and nurse practitioner pages under advanced practice nursing services. aligning with regulations.
Approval Date: September 7, 2017
Effective Date: July 1, 2017

North Carolina
The state plan proposes revisions to the reimbursement methodology for physician administered contraceptives at Wholesale Acquisition Cost (WAC) plus 6% and physician administered vaccines (as noted on the medical pages) at WAC plus 3%, while all other physician administered drugs will remain at prices established on January 1, 2015.
Approval Date: September 7, 2017
Effective Date: July 1, 2017

South Carolina
This amendment adds Autism Spectrum Disorder (ASD) services to medically eligible beneficiaries' ages 0-21 to the State Plan.
Approval Date: September 7, 2017
Effective Date: July 1, 2017

North Carolina
The companion letter requested the state to clearly define and describe rehabilitation services and to identify the requirements for practitioner providers.
Approval Date: September 6, 2017
Effective Date: September 25, 2013

Virginia
To include the terms upon which the state will collect supplemental rebates from drug manufacturers on those drugs dispensed to Medicaid Managed Care Organizations (MCO) enrollees.
Approval Date: September 6, 2017
Effective Date: July 1, 2017
Topics: Managed Care Program Administration