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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 1281 to 1290 of 1881 results
Transmittal Number: ND-15-0007
State: North Dakota
Summary: Amends the State Plan to identify an increase for ICF Services.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: ND-15-0005
State: North Dakota
Summary: Identify the increase for Inpatient Hospital Services for July 1, 2015.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: CA-15-019
State: California
Summary: This SPA exempts dental services and applicable ancillary services provided to beneficiaries of all ages from the 10% provider rate cut approved under Assembly Bill.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Dental
  • Program Administration
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Transmittal Number: IN-15-0024
State: Indiana
Summary: Updates the voluntary benefit package selection assurances and updates the supporting medically frail population identification methodology.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
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Transmittal Number: HI-15-0002
State: Hawaii
Summary: This SPA defines the family size under MAGI methodology as counting a pregnant woman as one person when determining the family size of other individuals in the pregnant woman's household.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
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Transmittal Number: WA-15-0019
State: Washington
Summary: Revises the standard to qualify for bariatric surgery and bases reimbursement on the two hospitals in the state that provide this service.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
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Transmittal Number: WA-15-0035
State: Washington
Summary: Amends the Alternative Benefit Package for the new adult expansion group to account for programmatic changes made to the State Plan in 2015, subsequent to its original approval including services provided through the Community First Choice State Plan Option approved in WA-15-0012.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
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Transmittal Number: TX-14-014
State: Texas
Summary: Establishes the Home and Community-Based Services Adult Mental Health benefit.
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Effective Date:
Topics:
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Transmittal Number: NE-15-0006-MM1
State: Nebraska
Summary: Proposed to provide coverage for qualified youth age 19 but less than 21 who entered into a kinship guardianship assistance agreement, an adoption assistance agreement, or a state-funded guardianship assistance agreement after turning age 16, who also meet at least one of several work or school requirements, using the state's AFDC payment standards as of 7/16/1996 for the income limit.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: MS-15-004
State: Mississippi
Summary: Implement changes to the current reimbursement methodology for nursing facilities, psychiatric residential treatment facilities and intermediate care facilities for individuals with intellectual disabilities.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
Links:
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