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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 1021 - 1030 of 15693

Idaho

This SPA updates Idaho's Basic Alternative Benefit Plan to update three existing benefits: Targeted Case Management for At-Risk Children; Community-Based Rehabilitation Services for Adults; and Community-Based Rehabilitation Services for Children.

Approval Date: May 13, 2024
Effective Date: January 1, 2023
Topics: Alternative Benefit Plan

Wisconsin

This Amendment provides 12 months continuous eligibility for children under the age of 19 in all mandatory and optional eligibility groups (excluding Medically Needy).

Approval Date: May 13, 2024
Effective Date: January 1, 2024
Topics: Eligibility Medicaid and CHIP Program (MACPro)

Idaho

This SPA revises Idaho's Enhanced Alternative Benefit Plan to update three existing benefits: Targeted Case Management for At-Risk Children; Community-Based Rehabilitation

Approval Date: May 13, 2024
Effective Date: January 1, 2023
Topics: Alternative Benefit Plan

Delaware

This amendment provides 12 months of continuous eligibility to children under age 19 enrolled in Medicaid.

Approval Date: May 10, 2024
Effective Date: January 1, 2024
Topics: Coverage Eligibility Medicaid and CHIP Program (MACPro) Program Administration

Rhode Island

This amendment is to provide 12 months of continuous eligibility (CE) for children under the age of 19 in Medicaid.

Approval Date: May 10, 2024
Effective Date: January 1, 2024

Ohio

This amendment is to amend its hospital presumptive eligibility SPA and presumptive eligibility program to include a performance standard for qualified entities or hospitals determining presumptive eligibility for pregnant women and/or children.

Approval Date: May 9, 2024
Effective Date: January 1, 2024
Topics: Coverage Eligibility Medicaid and CHIP Program (MACPro) Program Administration

Missouri

This SPA adds coverage of developmental disabilities health homes services to the Alternative Benefit Plan.

Approval Date: May 8, 2024
Effective Date: July 1, 2024
Topics: Alternative Benefit Plan

District of Columbia

This plan amendment updates Medicaid reimbursement rates for physical therapy, occupational therapy, and speech-language therapy services under the home health benefit.

Approval Date: May 8, 2024
Effective Date: January 1, 2024

Iowa

This plan amendment implements the tri-annual outpatient hospital rate rebase.

Approval Date: May 8, 2024
Effective Date: January 3, 2024

Texas

This plan amendment updates the family planning services fee schedules.

Approval Date: May 8, 2024
Effective Date: April 1, 2024