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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 31 to 40 of 43 results
Transmittal Number: NC-23-0019
State: North Carolina
Summary: This amendment would expand providers who are eligible to furnish case management services for two Target Case Management Groups (TCM). (Children at risk ages 0-5 and pregnant women), by revising the provider qualifications.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
  • Coverage
  • Reimbursement
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DE-23-0004
State: Delaware
Summary: This amendment proposes to remove the optional service, case management of high-risk pregnant women, from the Delaware Medicaid State Plan as these services will now be provided via an evidence-based home visiting model under 1115 waiver authority, effective January 1, 2023.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
  • Federal Financial Participation
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NV-23-0009
State: Nevada
Summary: This amendment adds local county agencies as qualified providers to deliver Targeted Case Management (TCM) services to adults with serious mental illness.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-23-0014
State: Minnesota
Summary: This amendment changes the requirements for mental health targeted case management (TCM) services for vulnerable adults and/or adults with developmental disabilities.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MI-23-0014
State: Michigan
Summary: Provides an update to the TCM State Plan Amendment C (aging) changing references of “in person” to “face to face” as face-to-face encompasses both in-person and telehealth which allows for more flexibility to assist individuals eligible under the State Plan.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-23-0009
State: Minnesota
Summary: This amendment changes the requirements for mental health targeted case management (TCM) services for children under Minnesota’s Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-23-0007
State: Colorado
Summary: This amendment allows the 240 service unit limit per client for targeted case management services to be exceeded if medically necessary.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-23-0001
State: Connecticut
Summary: Established coverage and reimbursement for a new Targeted Case Management (TCM) services for Integrated Care for Kids (InCK) in New Haven, CT. The target group is individuals under age 21 and those who are pregnant or up to twelve months postpartum residing in zip coded 0610 and 0611.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MD-22-0024
State: Maryland
Summary: Removes the reference to “psychiatric hospitals” on the inpatient hospital coverage state plan page.
Approval Date:
Effective Date:
Topics:
  • Inpatient
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-21-0013
State: North Carolina
Summary: The Pregnancy Medical Home program will be replaced by the Pregnancy Management Program.
Approval Date:
Effective Date:
Topics:
  • Inpatient
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT