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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 21 to 30 of 54 results
Transmittal Number: MO-18-0007
State: Missouri
Summary: Allows the state to provide alternative therapies for the management of chronic pain by using medical alternative therapy and non-opioid pharmacologic therapy for adults participants.
Approval Date:
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Topics:
  • Health Services Initiatives
  • Program Administration
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Transmittal Number: WA-18-0017
State: Washington
Summary: Updates the Medicaid State Plan to integrate physical and behavioral health services.
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Topics:
  • Health Services Initiatives
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Transmittal Number: MI-18-0008
State: Michigan
Summary: Nursing Facility Transitions.
Approval Date:
Effective Date:
Topics:
  • Health Services Initiatives
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Transmittal Number: CA-18-006
State: California
Summary: Department of Health Care Services (DHCS) to include the cost of paid sick leave in the In-Home Supportive Services (IHSS).
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Topics:
  • Health Services Initiatives
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Transmittal Number: AL-18-003
State: Alabama
Summary: This amendment adds Applied Behavioral Analysis (ABA) therapy for children under the age of 21.
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Topics:
  • Health Services Initiatives
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Transmittal Number: CT-17-0006
State: Connecticut
Summary: This SPA amends Attachment 4.19-B of the Medicaid State Plan to revise the laboratory and independent radiology fee schedules.
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Topics:
  • Health Services Initiatives
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Transmittal Number: CT-17-0004
State: Connecticut
Summary: This SPA amends Attachment 4.19-B of the Medicaid State Plan to revise the Medical Clinic and Rehabilitation Clinic fee schedules.
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Topics:
  • Health Services Initiatives
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Transmittal Number: CT-17-0009
State: Connecticut
Summary: This SPA amends Attachment 4.19-B of the Medicaid State Plan to revise the Family Planning Clinic, Ambulatory Surgical Center, Dialysis Clinic, and Behavioral Health Clinic fee schedules.
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Topics:
  • Health Services Initiatives
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Transmittal Number: OH-18-024
State: Ohio
Summary: This State Plan Amendment establishes a more precise definition of a Rural Hospital.
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Topics:
  • Health Services Initiatives
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Transmittal Number: GA-18-007
State: Georgia
Summary: Effective for deliveries occurring on and after July 1, 2018, an additional payment per newborn delivery will increase by $250 for hospitals in rural counties with populations less than 35,000.
Approval Date:
Effective Date:
Topics:
  • Health Services Initiatives
Links:
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