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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 1321 - 1330 of 15689

New Hampshire

This plan updates the rates for Dental Services.

Approval Date: February 20, 2024
Effective Date: October 1, 2023

New Hampshire

This plan updates the rates for Personal Care Services.

Approval Date: February 20, 2024
Effective Date: October 1, 2023

New Hampshire

This plan updates the rates for Home Health Services.

Approval Date: February 20, 2024
Effective Date: October 1, 2023

New Hampshire

This plan updates the rates for Emergency and Air Ambulance Services.

Approval Date: February 20, 2024
Effective Date: October 1, 2023

Alabama

The purpose of this amendment is to update the physician services benefit.

Approval Date: February 20, 2024
Effective Date: January 1, 2024
Topics: Benefits Coverage Program Administration

North Carolina

This amendment proposes to alleviate the effects of the nursing shortage on eligible Private Duty Nursing beneficiaries. The near relative or legally responsible person must have a valid and current nursing license and must operate within their scope of practice to deliver the skilled nursing service.

Approval Date: February 20, 2024
Effective Date: December 1, 2023

Louisiana

This SPA adds mandatory coverage of COVID-19 vaccine and administration, testing, and treatment benefits as required by Section 9811 of the American Rescue Plan Act.

Approval Date: February 16, 2024
Effective Date: March 11, 2021
Topics: Benefits Disaster Relief Reimbursement

North Dakota

This State Plan identifies the single state agency as the North Dakota Department of Health and Human Services.

Approval Date: February 16, 2024
Effective Date: September 1, 2022
Topics: Medicaid and CHIP Program (MACPro)

Alabama

The purpose of this amendment is to assure that the State is in compliance with Section 202 of the Consolidated Appropriations Act 2022, as requested by the Centers for Medicare & Medicaid Services.

Approval Date: February 16, 2024
Effective Date: January 1, 2024
Topics: Program Administration Third Party Liability

Indiana

This State Plan Amendment (SPA) proposes to make changes to the Medicaid State Plan to revise Medicaid reimbursement rates for physician and other practitioner services, including reimbursement rates for physician, anesthesiology, and dental services.

Approval Date: February 15, 2024
Effective Date: January 1, 2024