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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 6581 - 6590 of 15778

Virgin Islands
This SPA designates the income options the U.S. Virgin Islands is electing in 2014.
Approval Date: May 24, 2019
Effective Date: July 10, 2017
Topics: Program Administration

South Carolina
This amendment increases the July 1, 2016 alternate payment methodology (APM) .
Approval Date: May 24, 2019
Effective Date: July 1, 2017
Topics: Financing & Reimbursement

Alabama
Adds High Intensity Care Coordination to individuals aged 0-21 who have a diagnosed Autism Spectrum Disorder and\/or Serious Emotional Disturbance.
Approval Date: May 24, 2019
Effective Date: November 1, 2018

Washington
Treat and Refer Services.
Approval Date: May 24, 2019
Effective Date: July 1, 2019
Topics: Program Administration

Minnesota
This SPA proposes to allow coverage of drugs purchased through the federal 340B drug pricing program for selective 340B contract pharmacies when the 340B contract pharmacy requests in writing and receives approval from the state to use these drugs for Minnesota Medicaid beneficiaries.
Approval Date: May 24, 2019
Effective Date: March 20, 2019

North Dakota
Proposes to revise coverage of investigational and over-the-counter drugs.
Approval Date: May 23, 2019
Effective Date: November 1, 2018
Topics: Program Administration

Connecticut
Incorporate the 2019 Healthcare Common HCPCS changes to the Independent Radiology and Independent Laboratory fee schedules to remain compliant with HIPPA as well as adding 49 new molecular pathology codes and 2 chemistry codes to the Independent Laboratory fee schedule.
Approval Date: May 23, 2019
Effective Date: January 1, 2019
Topics: Financing & Reimbursement Program Administration

Montana
Clarifies clinic reimbursement is based on a published fee schedule and includes a 3. 8% rate reduction that was necessary to meet UPL requirements.
Approval Date: May 23, 2019
Effective Date: July 1, 2013
Topics: Financing & Reimbursement

Montana
Reimbursement update for Clinic Services.
Approval Date: May 23, 2019
Effective Date: July 1, 2013
Topics: Financing & Reimbursement

Ohio
Compliance with 21st Century Cures Act requirement to publish fee-for-service provider directory on State Medicaid Agency's public website.
Approval Date: May 23, 2019
Effective Date: July 1, 2019
Topics: Financing & Reimbursement