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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 4631 - 4640 of 15690

Massachusetts
CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to reimburse certain specifically listed clinical laboratory services, including COVID-19 specimen collection and testing, with updated fee schedules.
Approval Date: June 2, 2021
Effective Date: March 1, 2020
Topics: Disaster Relief Reimbursement

Virginia
Effective October 1, 2020 until September 30, 2025, this amendment addresses the newly added mandatory benefit for coverage and reimbursement of medication-assisted treatment (MAT) in opioid treatment programs (OTPs) and office-based opioid treatment settings. The purpose of the SPA is to move Virginia’s current MAT benefit from the optional benefit section in Virginia’s state plan to the required benefit section to comply with Section 1006(b) of the SUPPORT Act.
Approval Date: June 2, 2021
Effective Date: October 1, 2020
Topics: Benefits Financing & Reimbursement Prescription Drugs

Maryland
This amendment updates payment rates and fee schedules for enteral and parenteral supplies and equipment
Approval Date: June 2, 2021
Effective Date: February 1, 2021
Topics: Financing & Reimbursement

Texas
This state plan amendment updates the fee schedule for clinical diagnostic laboratory services  
Approval Date: June 2, 2021
Effective Date: January 1, 2021
Topics: Current State Plan Financing & Reimbursement

Louisiana
Effective for services after February 2, 2021, this amendment revises the Louisiana Department of Health, Bureau of Health Services Financing provisions governing the temporary rates for intermediate care facilities for persons with intellectual disabilities (ICFs/IID) for a period of four (4) years.  
Approval Date: June 1, 2021
Effective Date: February 2, 2021
Topics: Financing & Reimbursement

Alabama
This amendment will allow for Case Management Services to be billed for High Intensity Care Coordination for each eligible recipient in the family, each month, according to each recipient’s unique needs. 
Approval Date: June 1, 2021
Effective Date: May 1, 2021

Alabama
Updates the Alabama Coordinated Health Network (ACHN) Quality Bonus Payment date from July 2021 to October 2021, effective March 1, 2021. The reason for the change is to allow enough run time for historical claims data. 
Approval Date: June 1, 2021
Effective Date: March 1, 2021

Arkansas
CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to increase reimbursement for gloves used for in home services. Gloves provided as a medical supply for use in the home will be reimbursed based on 100% of the reimbursement by Blue Cross/Blue Shield of Arkansas.
Approval Date: May 28, 2021
Effective Date: January 1, 2021
Topics: Disaster Relief Reimbursement

Colorado
CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to increase payments to Nursing Facilities and ICF/IIDs for infection control related expenses. It allows Nursing Facility cost reports to accommodate efficient vaccine distribution. It also identifies that indirect costs exclude COVID-19 vaccines where Medicaid reimbursement is available directly to a third party.
Approval Date: May 28, 2021
Effective Date: January 1, 2021
Topics: Disaster Relief Reimbursement

Idaho
CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to implement flexibilities for the following: (1) Idaho's 1915 State Plan HCBS benefit for children with developmental disabilities; (2) Idaho's Basic ABP Children's Habilitation Intervention Services; and (3) Enhanced ABP Children's Habilitation Intervention Services.
Approval Date: May 28, 2021
Effective Date: March 13, 2020
Topics: Benefits Disaster Relief