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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 541 to 550 of 1339 results
Transmittal Number: WI-19-0017
State: Wisconsin
Summary: Modifies Disproportionate Share Hospital (DSH) Payments. Specifically, this amendment modifies payments to hospitals that serve a disproportionate share of low-income patients and meet eligibility requirements
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Financing & Reimbursement
Links:
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Transmittal Number: OH-20-0002
State: Ohio
Summary: Provider Enrollment & Screening
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: LA-19-0027
State: Louisiana
Summary: Proposes to establish qualifying criteria and a for disproportionate share hospital (DSH) payment methodology for West Jefferson Hospital, a major medical center located in southeastern area of Louisiana
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: VT-19-0007
State: Vermont
Summary: Revises the prior authorization requirements for special eyewear lenses
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Benefits
Links:
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Transmittal Number: ID-19-0022
State: Idaho
Summary: Clarifies populations eligible to receive all medically necessary services, as provided under the Idaho State Plan
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: LA-18-0027
State: Louisiana
Summary: Update the electronic Medicaid application that was developed as part of the state’s new eligibility and enrollment system
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Current State Plan
  • Data & Systems
Links:
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Transmittal Number: AZ-19-006
State: Arizona
Summary: Updates the list of eligibility groups for which wages paid by the Census Bureau for temporary employment related to Census activities are exempt

 
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: CA-19-0050
State: California
Summary: This State Plan Amendment is required to implement state Senate Bill (SB) 104 (2019). SB 104 increases the Blind Federal Poverty Level (FPL) and the Aged and Disabled FPL program income limits by increasing the income disregard to all countable income above the SSI/SSP payment standard up to 138% of FPL for the Blind FPL program and 100% up to 138% FPL for the Aged and Disabled FPL program. The income disregard is applied after all other exclusions and disregards.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Eligibility
Links:
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Transmittal Number: LA -19-0023
State: Louisiana
Summary: Amends the provisions governing financial eligibility in the Medical Assistance Program in order to disregard all resources in eligibility

determinations for all Medicare Savings Programs
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Financing & Reimbursement
Links:
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Transmittal Number: TN-19-0003
State: Tennessee
Summary: changes to Hospital Presumptive Eligibility (HPE), modifications to Presumptive Eligibility (PE) for Pregnant Women, the Eligibility Process Reviewable Unit, and the state’s election to end the option to provide Presumptive Eligibility to children under age 1.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT