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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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Displaying 13141 - 13150 of 15720

Alaska
This SPA implement the CHIP Provider Screening and Enrollment provision under Section 6401 of the Affordable Care Act (the Act) and Section 1866(j)(2)(A) of the Act to establish procedures under which screening is conducted with respect to providers of medical or other forms of service under Medicare, Medicaid and CHIP.
Approval Date: May 3, 2012
Effective Date: April 1, 2012
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Topics: No topics available
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Arizona
Assures that Arizona complies with the process of screening and enrolling providers and suppliers for the Medicaid program in accordance with Section 6401 of the Affordable Care Act, the Provider Screening and Other Enrollment Requirements Under Medicare, Medicaid,and CHIP.
Approval Date: May 3, 2012
Effective Date: March 25, 2011
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Topics: Program Administration
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Alaska
This amendment implements the consultation of tribal health programs prior to the submission of any plan amendment in compliance with Section 1902(a) (73) of the Social Security Act as required at 5006(e)(2) of the American Recovery and Reinvestment Act.
Approval Date: May 3, 2012
Effective Date: January 1, 2012
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Topics: Program Administration Tribal Issues
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Texas
The plan amendment removes the reimbursement for supplemental payments for public owned dental providers under EPSDT. The amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Approval Date: May 3, 2012
Effective Date: March 1, 2012
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Topics: Financing & Reimbursement
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Texas
The plan amendment revises the reimbursement methodology for two procedures codes related to diabetic supplies. The amendment increases the reimbursement rate to the acquisition cost for these services. The amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Approval Date: May 3, 2012
Effective Date: January 1, 2012
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Topics: Financing & Reimbursement
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Louisiana
The plan amendment carves out outpatient hospital services medical education payments from the prepaid risk-bearing MCO's so that the Medicaid agency can make the payments directly. The amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Approval Date: May 3, 2012
Effective Date: February 10, 2012
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Topics: Financing & Reimbursement
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Oregon
This amendment implements concurrent care for children on hospice in compliance with Section 2302 of the Affordable Care Act. In addition, this amendment provides comprehensive coverage language on hospice services within the State plan in accordance with 1905(o) of the Social Security Act.
Approval Date: May 3, 2012
Effective Date: April 1, 2012
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Topics: No topics available
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Florida
This SPA proposes to eliminate reimbursement ceilings and implement buy back provisions for certain hospitals, increasing expenditures of$702,291,687 ($432,374,305 FFP) for the 12 months ending June 30, 2011.
Approval Date: May 2, 2012
Effective Date: July 1, 2010
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Topics: Financing & Reimbursement
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Florida
This SPA proposes to change the payment methodology for Inpatient Hospital Reimbursement.
Approval Date: May 2, 2012
Effective Date: July 1, 2009
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Topics: Financing & Reimbursement
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Florida
This SPA proposes to reduce inpatient hospital rates to achieve a savings of total expenditures of $16 861,766 ($10,817,546 FFP) for the 21 months ending September 30, 2011.
Approval Date: May 2, 2012
Effective Date: January 1, 2010
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Topics: Financing & Reimbursement
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