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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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Showing 141 to 150 of 239 results
Transmittal Number: PA-18-0006
State: Pennsylvania
Summary: This amendment continues provisions for disproportionate share hospital payments to certain acute care hospitals that further Pennsylvania's goal of enhanced access in economically distressed areas.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NM-18-0002
State: New Jersey
Summary: Expands Health Homes into 8 additional counties with 7 providers. Will pilot a high fidelity wraparound model with 2 providers for children/adolescents. One provider will be first Tribal Health Home.
Approval Date:
Effective Date:
Topics:
  • Tribal Issues
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-14-06
State: Minnesota
Summary: Revises cost sharing participation for disabled Medicaid consumers who are employed.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-15-0024
State: Minnesota
Summary: Revises cost sharing for disabled employed individuals under the Balanced Budget Act.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OK-17-05
State: Oklahoma
Summary: This amendment implements policy that health care facilities operated by Indian Health Service/Tribally-Operated 638 Health Programs/Urban Indian Health Programs (ITU) providers are designated as Federally Qualified Health Centers (FQHC).
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Tribal Issues
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-17-012
State: Kansas
Summary: This Amendment corrects the State plan regarding the state's payment of Medicare Part A and B deductibles and cost-sharing on Medicare crossover claims.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OH-17-016
State: Ohio
Summary: Payment for Physicians and Licensed Practitioners services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VA-17-028
State: Virginia
Summary: Dental Fee Schedule Update.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Cost Sharing
  • Dental
Links:
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Transmittal Number: WA-17-0042
State: Washington
Summary: This amendment clarified and simplified the rules for when the Indian Health Service (IHS) encounter rate is paid to IHS and triba facilities.
Approval Date:
Effective Date:
Topics:
  • Tribal Issues
Links:
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Transmittal Number: MT-17-0018
State: Montana
Summary: This amendment gives the Blackfeet Tribe of the Blackfeet Reservation, and the Gros Ventre and Assiniboine Tribes of the Ft. Belknap Reservation, authority to determine Medicaid eligibility. A2 has been amended to add this authority.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Tribal Issues
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT