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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 1471 - 1480 of 15693

Alaska

This SPA is to memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Alaska's state plan, and make related changes to other eligibility groups covered under its state plan.

Approval Date: January 5, 2024
Effective Date: January 1, 2024
Topics: Eligibility Medicaid and CHIP Program (MACPro)

Delaware

This SPA amends the State Plan to allow the State to enter into value-based contract arrangements with drug manufacturers through supplemental rebate agreements.

Approval Date: January 4, 2024
Effective Date: January 1, 2024
Topics: Coverage Coverage and Reimbursement Physician Administered Drugs Preferred Drug Lists Prescription Drugs Reimbursement

Indiana

This Amendment makes conforming changes to the Medicaid State Plan to modify 12-month continuous eligibility policies for children.

Approval Date: January 4, 2024
Effective Date: January 1, 2024
Topics: Eligibility Medicaid and CHIP Program (MACPro)

Tennessee

This SPA proposes to update professional dispensing fees.

Approval Date: January 3, 2024
Effective Date: November 1, 2023
Topics: Prescription Drugs Reimbursement

Missouri

State made changes to several to the income and resource disregards applied in the eligibility determinations for the optional Ticket to Work and Work Incentives Improvement Act (WEEIAA) eligibility group.

Approval Date: December 30, 2023
Effective Date: January 1, 2024

California

This SPA authorizes reimbursement rate increases for 1915i Independent Living services, Habilitation/Community Living Arrangement services, Participant-directed Day services and Supported Employment services, and Day Services paid rates pursuant to a cost study, effective for dates of service on or after January 1, 2024.

Approval Date: December 29, 2023
Effective Date: January 1, 2024

Pennsylvania

This SPA authorizes revisions to the Pennsylvania Medicaid Supplemental Rebate Agreement.

Approval Date: December 21, 2023
Effective Date: January 1, 2024
Topics: Prescribed Drugs Reimbursement

Maine

CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to add supplemental payments to adult family care services providers and several hospitals.

Approval Date: December 20, 2023
Effective Date: March 1, 2020
Topics: Disaster Relief Reimbursement

Nevada

New Inpatient FFS UPL supplemental payment for qualifying hospitals

Approval Date: December 20, 2023
Effective Date: July 1, 2023

Montana

This plan amendment updates the date of the fee schedule for state plan services on the Introduction Page.

Approval Date: December 20, 2023
Effective Date: October 1, 2023