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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 1951 - 1960 of 15701

Montana

This purpose of this SPA is to updates the fee schedule dates and to make permanent telehealth flexibilities for certain rehabilitative services.

Approval Date: August 30, 2023
Effective Date: May 12, 2023
Topics: Coverage and Reimbursement

New Hampshire

This amendment for Clinic Services addresses the compliance concerns raised in the February 24, 2023 companion letter, for an April 1, 2023, effective date.  

Approval Date: August 30, 2023
Effective Date: April 1, 2023
Topics: Clinic Coverage Other Licensed Practitioners Prior Authorization

North Dakota

This State Plan Amendment implements an increase of 3% for vaccine administration under the Pediatric Immunization program.

Approval Date: August 29, 2023
Effective Date: July 1, 2023

Montana

This SPA makes permanent telehealth flexibilities for home health services and to expand qualified providers to conform with federal regulatory changes.

Approval Date: August 28, 2023
Effective Date: May 12, 2023

Indiana

This amendment will carve out basic life support and advanced life support ambulance transportation as well as nonemergency medical transportation (NEMT) services for nursing facility residents from the fee-for-service Medicaid NEMT brokerage.

Approval Date: August 28, 2023
Effective Date: July 1, 2023

Alabama

This amendment proposes to allow audio only services through telemedicine as described in the Medicaid Telemedicine Policy.

Approval Date: August 28, 2023
Effective Date: June 1, 2023

Washington

This SPA updates the description of the payment rate for Collaborative Care Services based on Medicare rates that are in effect at the time of service.

Approval Date: August 28, 2023
Effective Date: April 1, 2023

New York

Proposes to provide additional payments to non-state government public residential health care facilities.

Approval Date: August 28, 2023
Effective Date: April 1, 2022

Missouri

This state plan amendment adds language to reimburse ambulatory surgical centers (ASC) from a fee schedule based on Medicare’s ASC Payment System.

Approval Date: August 28, 2023
Effective Date: July 1, 2023

District of Columbia

To add provider types and services for children and adolescents under age 21 who need autism spectrum disorder (ASD) services.

Approval Date: August 25, 2023
Effective Date: October 1, 2023
Topics: Other Licensed Practitioners