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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 41 to 50 of 226 results
Transmittal Number: AR-24-0014
State: Arkansas
Summary: This SPA, which adds Emergency Medical Technicians as Other Licensed Practitioners.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
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Transmittal Number: OR-24-0021
State: Oregon
Summary: This amendment updates language and increases rates for Doula services.
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Effective Date:
Topics:
  • Coverage and Reimbursement
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Transmittal Number: MO-24-0008
State: Missouri
Summary: This amendment adds coverage of doula services to enhance the bi1ihing experience, reduce complications, and improve outcomes for women and infants.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
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Transmittal Number: IA-23-0022
State: Iowa
Summary: This amendment allows licensure of Rural Emergency Hospitals authorized by the Iowa State Senate.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
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Transmittal Number: SD-24-0014
State: South Dakota
Summary: This amendment inflationary rate increases and various coverage and service updates.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
  • Eligibility
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Transmittal Number: NV-24-0023
State: Nevada
Summary: This State Plan Amendment is to define residential services for substance use treatment and expand the type of providers who can render services.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
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Transmittal Number: CO-24-0003-A
State: Colorado
Summary: This amendment adds Direct-Entry Midwives (also referred to as Certified Professional Midwives) to the midwifery provider types.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
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Transmittal Number: NM-24-0001
State: New Mexico
Summary: This amendment establishes coverage for Biomarker Tests that are medically necessary.
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Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
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Transmittal Number: AZ-24-0006
State: Arizona
Summary: This amendment proposes to add coverage for doula services.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
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Transmittal Number: CT-24-0002
State: Connecticut
Summary: This amendment updates HCPCS reimbursement to physician office & outpatient/radiology/surgery, independent radiology, MEDS, lab, adult/children dental services, audiology/speech & language, ambulatory surgical centers, rehab/medical and behavioral health clinics. This SPA also updates reimbursement to physician admin drugs; adult complex skilled nursing services; long-acting reversible contraceptives (LARCs) and adds periodontal SRP services. It also extends rate add-ons for pediatric inpatient psych and the states person centered medical homes (PCMH+) program.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT