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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 3031 - 3040 of 15886

Connecticut
Updated the State Plan language regarding the Community First Choice program to implement the provisions of the recently updated collective bargaining agreement between the state and the union representing personal care attendants (PCAs).
Approval Date: December 16, 2022
Effective Date: October 1, 2022
Topics: Home and community based services

California
This SPA updates the rate setting methodology for clinical laboratory and laboratory services.
Approval Date: December 16, 2022
Effective Date: July 1, 2022

California
This SPA authorizes supplemental add-on payments to the fee schedule rates for eligible ground emergency medical transports provided July 1, 2022 through June 30, 2023.
Approval Date: December 16, 2022
Effective Date: July 1, 2022

California
This SPA exempts specified providers from the reduction specified in paragraphs (6) through (13), set forth on pages 3.1 through 3.4 of Attachment 4.19-B. In addition, NEMT base rates and supplemental payments are adjusted to maintain reimbursement levels following their exemption from the reduction.
Approval Date: December 16, 2022
Effective Date: July 1, 2022

New Mexico
New Mexico is updating its State Plan. Language is being added to clarify that telehealth and teleconsultation services are reimbursed at the same rate as face-to-face visits.
Approval Date: December 16, 2022
Effective Date: October 1, 2022

Minnesota
This plan amendment updates the rates for Youth ACT services.
Approval Date: December 16, 2022
Effective Date: January 1, 2022

North Carolina
This state plan amendment will supersede SPA NC-21-0016 and will revise the FQHC Cost Based Alternate Payment Methodology (APM) for State Fiscal Year 2022-2023 dates of service.
Approval Date: December 16, 2022
Effective Date: July 1, 2022

New York
This plan amendment updates outpatient hospital APG rates.
Approval Date: December 15, 2022
Effective Date: July 1, 2022

New York
This plan amendment increases the minimum wage for home care aids.
Approval Date: December 15, 2022
Effective Date: October 1, 2022

South Carolina
We are issuing a technical correction to the approval package for Medicaid State Plan transmittal number (TN) 22-0008. This amendment updates Medicaid prospective payment rates for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) based on a legislatively funded 3 percent COLA increase in order to reimburse ICF/IID providers for the increased costs for services and one-time $1500 bonus payments for full-time equivalent (FTE) employees meeting specified criteria. The original approval package included a typo in the fiscal year.
Approval Date: December 15, 2022
Effective Date: July 1, 2022