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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 1451 to 1460 of 1881 results
Transmittal Number: WA-14-0004
State: Washington
Summary: It accomplishes several substantive revisions including changing the program name to "Apple Health;" adding a "low birth weight baby case payment;" making enrollmentmandatory; expanding the eligibility groups to include pregnant women (mandatory), the new adult expansion group (mandatory), and SSI/foster kids (voluntary); and adding a new description of the MCO assignment process.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: ID-14-007
State: Idaho
Summary: Removes the Idaho Enhanced Benchmark Benefit Package (EBBP) to comply with the requirements in the Affordable Care act to ensure that the essential health benefits and other standards are met.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Prescription Drugs
  • Program Administration
Links:
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Transmittal Number: ID-14-0003
State: Idaho
Summary: This SPA defines the Enhanced Alternative Benefit Plan (Enhanced ABP) targeted to serve individuals with special health care needs operating under section 1937 authority of the Social Security Act (the Act).
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MA-11-004
State: Massachusetts
Summary: Outpatient Substance Abuse Hospital Services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
Links:
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Transmittal Number: IL-12-019
State: Illinois
Summary: Request to change limitations for inpatient, chiropractic, podiatric, home health, dental, and physical/occupational/speech therapy.
Approval Date:
Effective Date:
Topics:
  • Dental
  • Eligibility
  • Program Administration
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-13-013
State: Indiana
Summary: 1915(i) State Plan Home and Community-Based Services (HCBS), Behavioral and Primary Healthcare Coordination Services; and IN.02.001 - Amendment to 1915(b)(4) waiver, Adult Mental Health Habilitation and Behavioral and Primary Healthcare Coordination Services
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: DE-14-0003
State: Delaware
Summary: Meets all Federal Statutory and Regulatory Requirements for Establishing an ABP.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: IN-14-002
State: Indiana
Summary: Clarifies that only Community Mental Health Centers (CMHCs) are allowed to provide MRO services.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: IA-14-0005-MM7
State: Iowa
Summary: One or more qualified hospitals will determine presumptive eligibility under 42 CFR 435.1110, and Iowa is providing Medicaid coverage for individuals determined presumptively eligible under this provision.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
Links:
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Transmittal Number: ID-14-004
State: Idaho
Summary: Amends Idaho's current 1915(i) state plan benefit for children with developmental disabilities by adding "Early Intervention Provider" as a provider type. In addition, this SPA revises the quality improvement strategy language in order to align it with current state plan home and community-based services strategies.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT