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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 1711 - 1720 of 15689

New Jersey

This amendment was submitted in order to update the fee schedules for Personal Care Assistant (PCA) services .

Approval Date: November 1, 2023
Effective Date: July 1, 2023

Illinois

This SPA increases reimbursement rates for speech therapy services, physical therapy services, and occupational therapy services; and adds speech-language pathology assistants, physical therapy assistants, and occupational therapy assistants as providers.

Approval Date: November 1, 2023
Effective Date: January 1, 2024
Topics: Coverage and Reimbursement

Illinois

This SPA updates the professional qualifications for technicians delivering Adaptive Behavior Support services to Medicaid beneficiaries diagnosed with autism spectrum disorder.

Approval Date: November 1, 2023
Effective Date: July 1, 2023

Kansas

This amendment adds Children Behavioral Interventionist (CBI) Service, which will provide children/youth with neuro developmental activities for individuals/families that are struggling with behavior and emotional management issues as established in a person-centered treatment plan.

Approval Date: November 1, 2023
Effective Date: October 1, 2023
Topics: Coverage and Reimbursement

California

This amendment is for §1915 state plan home and community-based services (HCBS) benefit and adding the new service Coordinated Family Supports.

Approval Date: November 1, 2023
Effective Date: November 1, 2023
Topics: Home and community based services Reimbursement

New Jersey

This amendment was submitted in order to update the fee schedules for Behavioral Health services .

Approval Date: November 1, 2023
Effective Date: July 1, 2023

New Jersey

This amendment was submitted in order to update the fee schedules for Family Planning services .

Approval Date: November 1, 2023
Effective Date: July 1, 2023

New Jersey

This amendment was submitted in order to update the fee schedules for Private Duty Nursing.

Approval Date: November 1, 2023
Effective Date: July 1, 2023

Alabama

This amendment will clarify the state covers and reimburses approved adult vaccines recommended by the Advisory Committee on Immunization Practices (ACIP).

Approval Date: November 1, 2023
Effective Date: October 1, 2023

Minnesota

The State is changing the implementation date of the previously approved MN-22-0017 SPA as well as incorporating permanent funding for the moving expense allowance in Housing Stabilization - Transition Services.

Approval Date: November 1, 2023
Effective Date: January 1, 2024