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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 13121 - 13130 of 15756

Oregon
This transmittal is being submitted to implement Section 6401(a) of the Affordable Care Act-provider screening and enrollment assurances.
Approval Date: May 30, 2012
Effective Date: April 1, 2012
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Topics: No topics available
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Florida
This SPA is for implementation of an electronic Asset Verification System (AVS) that will verify the assets of blind, aged or disabled applicants and recipients of Medicaid as required by Section 1940 of the Social Security Act.
Approval Date: May 30, 2012
Effective Date: January 1, 2012
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Topics: No topics available
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Arizona
Implements an Asset Verification System as part of the Medicaid eligibility determination and recipients. Defines the requirements of the Asset Verification System.
Approval Date: May 30, 2012
Effective Date: September 30, 2012
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Topics: Program Administration
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Alabama
Provides assurances that the State is in compliance with the screening and enrollment of providers.
Approval Date: May 30, 2012
Effective Date: April 1, 2012
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Topics: Program Administration
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Maryland
Provides assurance of compliance with the provider screening and enrollment provisions.
Approval Date: May 30, 2012
Effective Date: January 1, 2012
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Topics: Benefits Eligibility Program Administration
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Montana
Reimbursement methodology for deductible and coinsurance for Medicare part B services by institutional outpatient providers.
Approval Date: May 30, 2012
Effective Date: January 1, 2012
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Topics: No topics available
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Wisconsin
This amendment revises payment methodologies for inpatient hospital services. Specifically, this amendment eliminates the length of stay outlier payment; clarifies that Medicare cost report data is obtained through the Health Cost Reporting Information System (HCRIS) maintained by the Center for Medicare and Medicaid Services (CMS); increases the standard DRG group rate; increases the "trimpoint" amount for hospitals to qualify for a cost outlier payment; proposes supplemental disproportionate share hospital (DSH) payments for State, County and Private hospitals; creates a second level of supplemental payments to essential access city hospitals; increases the amount of inpatient access payments to acute care, children's, rehabilitation, and critical access hospitals.
Approval Date: May 25, 2012
Effective Date: July 1, 2011
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Topics: Financing & Reimbursement
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New York
This amendment denies additional Medicaid payments for costs incurred for potentially preventable conditions in the inpatient hospital setting.
Approval Date: May 25, 2012
Effective Date: July 1, 2011
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Topics: No topics available
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Michigan
This amendment brings the State into compliance with Federal requirements with respect to non-payment for provider-preventable conditions.
Approval Date: May 25, 2012
Effective Date: July 1, 2011
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Topics: Program Administration
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Idaho
his SPA reduces the amount, duration and scope of dental services available to individuals over the age of twenty-one, limiting the dental benefit package to emergency and medically necessary oral surgery and palliative services and associated diagnostic services. The benefit changes apply to non-pregnant adults over the age of twenty-one (21), who are eligible for Medicaid's Basic or Enhanced plans.
Approval Date: May 25, 2012
Effective Date: July 1, 2011
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Topics: Dental
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