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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 161 to 170 of 170 results
Transmittal Number: IA-11-011
State: Iowa
Summary: Required due to a premium scale adjustment per 441 IAC 75.1(39). The maximum preium amount is based on avg. state employee health insurance premium, & that amount increased. Therefore, premiums for MEPD have increased.
Approval Date:
Effective Date:
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  • Premiums
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Transmittal Number: NE-11-08
State: Nebraska
Summary: Proposes to correct the fee schedule rate for secure psychiatric residential rehabilitation services.
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  • Premiums
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Transmittal Number: CT-11-004
State: Connecticut
Summary: Amends Physician Fee Schedule and reflects proposed increase in Medicaid fee for procedural code J7302.
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Effective Date:
Topics:
  • Premiums
  • Program Administration
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Transmittal Number: NE-09-08
State: Nebraska
Summary: Fee Schedule Rates.
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Effective Date:
Topics:
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Transmittal Number: MN-10-013
State: Minnesota
Summary: Methods and Standards for Determining Payment Rates for Services Provided by Nursing Facilities.
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Effective Date:
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Transmittal Number: IA-09-020
State: Iowa
Summary: Reductions in payment rates and changes in payment standards for inpatient hospital and NFs related to across the board budget cuts made by the Governor.
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Effective Date:
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  • Premiums
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Transmittal Number: NE-10-012
State: Nebraska
Summary: Inpatient Hospital Rate Change.
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Effective Date:
Topics:
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Transmittal Number: AL-10-007
State: Alabama
Summary: Aligns the resource limit for Qualified Medicare Beneficiaries Specified Low Income Medicare Beneficiaries and Qualifying Individuals with the resource limit for individuals who qualify for the full subsidy under the Medicare Part D Low Income Subsidy program.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Financing & Reimbursement
  • Premiums
  • Program Administration
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Transmittal Number: NC-09-017
State: North Carolina
Summary: Adjusts State Fiscal Year (SFY) 2010 rates for Rehabilitation Services based on an overall program reduction of 4.68 percent for SFY 2010. SFY 2011 rates are to be frozen at the SFY 2010 amount.
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Effective Date:
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Transmittal Number: IA-09-006
State: Iowa
Summary: Adjust the premium scale for persons covered under Iowa's Medicaid for Employed People with Disabilities (MEPD) program.
Approval Date:
Effective Date:
Topics:
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