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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 1521 - 1530 of 15690

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

Nevada

This amendment is to expand eligibility for pregnant individuals whose incomes are up to 185 percent of the federal poverty level (FPL).

Approval Date: December 15, 2023
Effective Date: January 1, 2024
Topics: Eligibility Medicaid and CHIP Program (MACPro)

Arizona

This amendment is to update the description of the state agency roles in determining eligibility and conducting hearings.

Approval Date: December 15, 2023
Effective Date: April 1, 2023
Topics: Medicaid and CHIP Program (MACPro) Program Administration

Kansas

This amendment is to add the Alternative Benefit Plan (ABP) for the Supports and Training for Employing People Successfully (STEPS) program.

Approval Date: December 14, 2023
Effective Date: January 1, 2024

Kansas

The purpose of this state plan amendment is to enroll Medicaid eligible beneficiaries on a mandatory basis into managed care organizations.

Approval Date: December 14, 2023
Effective Date: January 1, 2024

Arkansas

This SPA increases Outpatient Behavioral Health and Individual Counseling rates.

Approval Date: December 14, 2023
Effective Date: January 1, 2024

Kansas

This amendment is to amend the Working Healthy Alternative Benefit Plan (ABP) to change the Medicaid authority from the 1115 waiver for managed care to the 1915(b) waiver.

Approval Date: December 14, 2023
Effective Date: January 1, 2024

Kansas

This plan amendment has established payment methodologies for Alternative Benefit Plan (ABP) benefits that are not provided through managed care.

Approval Date: December 14, 2023
Effective Date: January 1, 2023

Massachusetts

This amendment is to update the Standard Alternative Benefit Plan (ABP) to add and update certain behavioral health services.

Approval Date: December 14, 2023
Effective Date: January 1, 2023
Topics: Alternative Benefit Plan Home Health Prior Authorization

Massachusetts

This amendment is to update the CarePlus Alternative Benefit Plan (ABP) to add and update behavioral health services.

Approval Date: December 14, 2023
Effective Date: January 1, 2023
Topics: Alternative Benefit Plan Managed Care Prior Authorization