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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 461 to 470 of 1655 results
Transmittal Number: CA-16-0027
State: California
Summary: Restores acupuncture as a covered service under the Alternative Benefit Plan (ABP).
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: MO-20-0022
State: Missouri
Summary: expand the services for which licensed pharmacists are allowed to bill MO HealthNet to include all services within their professional scope of practice.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
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Transmittal Number: AZ-20-0021
State: Arizona
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to permit pharmacists to order and administer vaccines, including the COVID-19 and influenza vaccines. The amendment also permits pharmacy technicians and pharmacy interns to administer the COVID-19 and influenza vaccines under the supervision of an immunizing pharmacist.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
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Transmittal Number: IN-20-0017
State: Indiana
Summary: Care Coordination Services for Mental Health and Substance Use Disorders
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
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Transmittal Number: PA-21-0004
State: Pennsylvania
Summary: Effective January 24, 2021, this amendment continues Pennsylvania's authority to continue Medical Assistance Day One Incentive (MDOI) payments to nonpublic nursing facilities and sets the funding levels for Fiscal Year 2021.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Benefits
Links:
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Transmittal Number: ND-20-0028
State: North Dakota
Summary: Amends the ABP State Plan to add 1915(j) Behavioral Health services
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Current State Plan
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Transmittal Number: HI-21-0003
State: Hawaii
Summary: Effective January 15, 2021, this amendment removes limits on smoking cessation counseling and pharmacotherapy services. 
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: KS-20-0022
State: Kansas
Summary: Adds maternal depression screening to the benefits covered under the screening benefit category in Kansas’ State plan
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: UT-20-0012
State: Utah
Summary: This SPA allows a bundled payment methodology for rehabilitative mental health services when provided in crisis receiving centers.  It also clarifies the purpose of rehabilitative mental health services including psychiatric diagnostic evaluation as for the direct benefit of the beneficiary.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
Links:
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Transmittal Number: VI-20-0002
State: Virgin Islands
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to add providers and specify provider qualifications (training and supervision requirements) as well as, to clarify 15 minute increment payment policy.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT