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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 791 to 800 of 2098 results
Transmittal Number: ME-23-0013
State: Maine
Summary: This amendment proposes to amend Maine's Accountable Communities Program.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-23-0002
State: Arkansas
Summary: This SPA increases Outpatient Behavioral Health and Individual Counseling rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: KS-23-0039
State: Kansas
Summary: This plan amendment has established payment methodologies for Alternative Benefit Plan (ABP) benefits that are not provided through managed care.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OH-23-0034
State: Ohio
Summary: This plan updates the rates for Ambulatory Health Care Clinics (AHCCs), Dialysis Center Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: LA-23-0036
State: Louisiana
Summary: The purpose of this SPA is to amend the provisions governing disproportionate share hospital (DSH) payments to increase reimbursement for DSH eligible services provided by hospitals through a cooperative endeavor agreement with the Office of Behavioral Health(OBH), in order to align the rate for OBH approved DSH days with the Medicaid inpatient psychiatric per diem rate on file for freestanding psychiatric hospitals.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: RI-23-0010
State: Rhode Island
Summary: On September 20, 2023, CMS received Rhode Island State Amendment RI-23-0010 for CEDAR Health Homes. EOHHS is seeking approval from CMS to update Rhode Island’s Medicaid State Plan to implement a change in the rate methodology for Cedar Family Centers.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-22-0018
State: New York
Summary: This plan proposes a minimum wage adjustment for clinics.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-22-0076
State: New York
Summary: This plan proposes updates to remove the “Behavioral Health Utilization Controls” payment reductions for clinics.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: TX-23-0039
State: Texas
Summary: The purpose of the amendment is to clarify the reimbursement methodology for renal dialysis services as payable outside of the current composite rate due to new and/or expensive technology and high cost drugs.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-22-0081
State: New York
Summary: This plan proposes updates to Ambulatory Patient Group (APG) rates for freestanding clinics and reimbursement for Licensed Mental Health Counselors (LMHCs) services and Licensed Marriage and Family Therapists (LMFTs) services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT