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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 1511 - 1520 of 15689

Kansas

This plan amendment moves the payment for bath and toilet aids to the durable medical equipment benefit.

Approval Date: December 15, 2023
Effective Date: January 1, 2023

Massachusetts

This plan amendment updates the methods and standards used to determine the rates of payment for supplemental payments for non-public ambulance providers.

Approval Date: December 15, 2023
Effective Date: September 29, 2023

Connecticut

This plan proposes providing outpatient supplemental payments to non-governmental independent licensed short-term general hospitals that are financially distressed.

Approval Date: December 15, 2023
Effective Date: September 1, 2023

Connecticut

This plan proposes an increase to rates under the Connecticut Home Care Program for Elders (CHCPE).

Approval Date: December 15, 2023
Effective Date: October 1, 2023

Puerto Rico

This SPA proposes to bring Puerto Rico into compliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment period (CMS-2345-FC).

Approval Date: December 15, 2023
Effective Date: January 1, 2023
Topics: Coverage and Reimbursement Covered Outpatient Drug Prescribed Drugs Specialty Drugs

Nebraska

This SPA increase the aged, blind, or disabled personal needs allowance (PNA) from $60 to $75 for individuals, and from $120 to $150 for couples.

Approval Date: December 15, 2023
Effective Date: September 1, 2023

California

This amendment aligns the Alternative Benefit Plan (ABP) with the Medicaid state plan by adding specified pharmacist services as a Medi-Cal benefit.

Approval Date: December 15, 2023
Effective Date: April 1, 2019
Topics: Alternative Benefit Plan

Utah

This amendment is an exception to the Recovery Audit Contractor (RAC) program.

Approval Date: December 15, 2023
Effective Date: November 1, 2023
Topics: Program Administration

California

This amendment aligns the Alternative Benefit Plan (ABP) with the Medicaid state plan by adding coverage for audiology/speech therapy, podiatry, optometric and optician services, and incontinence creams and washes. This SPA also removes the two-visit limit for podiatrist services.

Approval Date: December 15, 2023
Effective Date: January 1, 2020
Topics: Alternative Benefit Plan

Maine

This amendment proposes to amend Maine's Accountable Communities Program.

Approval Date: December 15, 2023
Effective Date: July 1, 2023
Topics: Benefits Coverage Reimbursement