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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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Displaying 13111 - 13120 of 15756

New York
2011-12 Private Psychiatric Hospital (PPH) Rate Freeze (FMAP = 50%).
Approval Date: May 31, 2012
Effective Date: January 1, 2012
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Topics: Benefits
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New Jersey
Implementation of state upper payment limit for multi-source drugs.
Approval Date: May 31, 2012
Effective Date: May 19, 2011
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Topics: Financing & Reimbursement Prescription Drugs
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Wisconsin
Provider Screening and Enrollment.
Approval Date: May 30, 2012
Effective Date: January 1, 2012
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Topics: No topics available
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Texas
The plan amendment updates the physician and other licensed practitioners fee schedule, including all components of the effective date language in the State Plan. The amendment change does not have a direct impact on Indians, Indian Health Programs, or Urban Indian organizations.
Approval Date: May 30, 2012
Effective Date: March 1, 2012
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Topics: Financing & Reimbursement
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Texas
The plan amendment provides cost reimbursement for ambulance services furnished by government providers, changing the interim rate which will be settled to cost. The amendment change will not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Approval Date: May 30, 2012
Effective Date: August 1, 2011
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Topics: Financing & Reimbursement
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Arkansas
The plan amendment is required by Section 6411 of the Affordable Care Act pertaining to the Medicaid Recovery Audit Contractor Program., where the state is requesting a time limited exception in order to complete the procurement process.
Approval Date: May 30, 2012
Effective Date: October 1, 2012
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Topics: No topics available
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Montana
Provider Screening and Enrollment.
Approval Date: May 30, 2012
Effective Date: April 1, 2012
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Topics: Eligibility
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New Hampshire
Payment to freestanding birth center.
Approval Date: May 30, 2012
Effective Date: January 4, 2012
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Topics: Financing & Reimbursement
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Idaho
This SPA implements the Medicaid/CHIP Provider Screening and Enrollment provision under section 6401 of the Affordable Care Act and section 1866(j)(2)(A) of the Act to establish procedures under which screening is conducted with respect to providers of medical or other forms of service under Medicare, Medicaid and CHIP.
Approval Date: May 30, 2012
Effective Date: April 1, 2012
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Topics: Eligibility
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Washington
This amendment is to implement the Medicaid/Children's Health Insurance Program (CHIP) Provider Screening and Enrollment provision under Section 6401 of the Affordable Care Act and Section 1866(j)(2)(A) of the Act to establish procedures under which screening is conducted with respect to providers of medical or other forms of service under Medicare, Medicaid and CHIP.
Approval Date: May 30, 2012
Effective Date: January 1, 2012
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Topics: No topics available
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