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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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Displaying 13101 - 13110 of 15735

Texas
The plan amendment provides cost reimbursement for ambulance services furnished by government providers, changing the interim rate which will be settled to cost. The amendment change will not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Approval Date: May 30, 2012
Effective Date: August 1, 2011
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Topics: Financing & Reimbursement
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Idaho
This SPA implements the Medicaid/CHIP Provider Screening and Enrollment provision under section 6401 of the Affordable Care Act and section 1866(j)(2)(A) of the Act to establish procedures under which screening is conducted with respect to providers of medical or other forms of service under Medicare, Medicaid and CHIP.
Approval Date: May 30, 2012
Effective Date: April 1, 2012
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Topics: Eligibility
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Washington
This amendment is to implement the Medicaid/Children's Health Insurance Program (CHIP) Provider Screening and Enrollment provision under Section 6401 of the Affordable Care Act and Section 1866(j)(2)(A) of the Act to establish procedures under which screening is conducted with respect to providers of medical or other forms of service under Medicare, Medicaid and CHIP.
Approval Date: May 30, 2012
Effective Date: January 1, 2012
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Topics: No topics available
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Oregon
This transmittal is being submitted to implement Section 6401(a) of the Affordable Care Act-provider screening and enrollment assurances.
Approval Date: May 30, 2012
Effective Date: April 1, 2012
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Topics: No topics available
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Florida
This SPA is for implementation of an electronic Asset Verification System (AVS) that will verify the assets of blind, aged or disabled applicants and recipients of Medicaid as required by Section 1940 of the Social Security Act.
Approval Date: May 30, 2012
Effective Date: January 1, 2012
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Topics: No topics available
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New York
This amendment denies additional Medicaid payments for costs incurred for potentially preventable conditions in the inpatient hospital setting.
Approval Date: May 25, 2012
Effective Date: July 1, 2011
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Topics: No topics available
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Ohio
Disproportionate Share Hospital (DSH) Program: Redistribution post DSH audit.
Approval Date: May 25, 2012
Effective Date: October 1, 2011
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Topics: No topics available
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New York
This amendment will also carve out medication costs from the inpatient PR TF rates.
Approval Date: May 25, 2012
Effective Date: July 1, 2011
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Topics: Benefits
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Michigan
Implements Requirements for Non-Payments for Provider-Preventable Conditions.
Approval Date: May 25, 2012
Effective Date: January 1, 2011
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Topics: No topics available
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Illinois
Pharmacy services - Wholesale acquisition cost reimbursement methodology.
Approval Date: May 25, 2012
Effective Date: February 1, 2012
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Topics: Financing & Reimbursement
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