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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 1781 - 1790 of 15689

New Hampshire

This plan updates rates and methodology for Dentists and Occupational Therapy services.

Approval Date: October 16, 2023
Effective Date: July 1, 2023

Montana

This SPA provides Montana with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.

Approval Date: October 16, 2023
Effective Date: July 1, 2023
Topics: Benefits Medicaid and CHIP Program (MACPro)

New Hampshire

This plan updates rates and methodology for Durable Medical Equipment (DME), including Adult Medical Care and Newborn Preventative Services.

Approval Date: October 16, 2023
Effective Date: July 1, 2023

New Hampshire

This plan updates rates and methodology for Community Mental Health Centers.

Approval Date: October 16, 2023
Effective Date: July 1, 2023

North Carolina

Added coverage for the eligibility group serving individuals under age 65 with incomes at or below 133% of the FPL under Section 1902(a)(10)(A)(viii) of the Social Security Act.

Approval Date: October 12, 2023
Effective Date: December 1, 2023
Topics: Benefits Eligibility Medicaid Expansion

North Carolina

This SPA describes the methodology used by the state for determining the appropriate FMAP rates, including the increased FMAP rates, available under the provisions of the Affordable Care Act applicable for the medical assistance expenditures under the Medicaid program associated with enrollees in the new adult group adopted by the state and described in 42 CFR 435.119.

Approval Date: October 12, 2023
Effective Date: December 1, 2023
Topics: Benefits Eligibility Medicaid Expansion

Massachusetts

This plan amendment updates the methods and standards used to determine the rates of payment for Continuous Skilled Nursing Agency and Independent Nursing Services.

Approval Date: October 12, 2023
Effective Date: July 1, 2023

Massachusetts

This plan amendment updates the methods and standards used to determine the rates of payment for Complex Care Assistant Services.

Approval Date: October 12, 2023
Effective Date: July 1, 2023

Massachusetts

This plan amendment updates the methods and standards used to determine the rates of payment for Children’s Behavioral Health Initiative services.

Approval Date: October 12, 2023
Effective Date: August 1, 2023

Montana

Nursing Facilities increase

Approval Date: October 12, 2023
Effective Date: July 1, 2023