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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 1141 - 1150 of 15708

New Hampshire

This plan updates rates for Community Mental Health Centers.

Approval Date: April 9, 2024
Effective Date: January 1, 2024

Alabama

This amendment will allow the Alabama Medicaid Agency to apply the reimbursement basis for inpatient and outpatient hospital services for State fiscal year 2024.

Approval Date: April 9, 2024
Effective Date: October 1, 2023

Mississippi

This amendment allows a new supplemental payment for inpatient and outpatient services effective October 1, 2023.

Approval Date: April 9, 2024
Effective Date: October 1, 2023

North Carolina

This State Plan Change will reduce medical home payments for primary care providers with beneficiaries eligible for Tailored Care Management (TCM) to align with medical payment for non-TCM eligible members.

Approval Date: April 9, 2024
Effective Date: October 1, 2023

New Hampshire

This plan updates rates for Adult Medical Day Care.

Approval Date: April 9, 2024
Effective Date: January 1, 2024

New Hampshire

This plan updates rates for Practitioners and Other Licensed Practitioners (OLP).

Approval Date: April 9, 2024
Effective Date: January 1, 2024

Maryland

Tis Maryland Medical Assistance Behavioral Health, Health Home Program reimbursement rates will increase by 8 percent

Approval Date: April 9, 2024
Effective Date: January 1, 2024

Puerto Rico

To provide 12 months of continuous eligibility (CE) for children under the age of 19 to comply with Section 5112 of the Consolidated Appropriations Act, 2023.
 

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

New Jersey

This SPA introduces GME Trauma language into the states plan.

Approval Date: April 8, 2024
Effective Date: July 1, 2023

Arkansas

This amendment is Developmental Screen for Children by adding language to the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) and AR Kids-B Medicaid manuals allowing primary care providers (PCPs) to perform a developmental screening for children between the ages of forty-eight (48) and sixty (60) months.

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