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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 2141 - 2150 of 15838

Oregon

This amendment is to add Certified Indian Health Service Community Health Aide Program providers into the other licensed providers section of the state plan.

Approval Date: August 7, 2023
Effective Date: April 1, 2023
Topics: Coverage and Reimbursement

North Dakota

This state plan amendment implements a 3% inflationary increase for North Dakota Medicaid Providers providing 1915i services.

Approval Date: August 7, 2023
Effective Date: July 1, 2023

North Dakota

This state plan amendment implements a 3% inflationary increase for Targeted Case Management Services.

Approval Date: August 7, 2023
Effective Date: July 1, 2023

North Dakota

This state plan amendment implements a 3% inflationary increase for Rural Health Clinic Services.

Approval Date: August 7, 2023
Effective Date: July 1, 2023

Washington

Amended the Community First Choice (CFC) program to add an option that allows level of care assessments to be completed remotely when an in-person visit is not possible and also adds language that allows participants and providers to finalize the person-centered plan with an electronic signature, including voice signature.

Approval Date: August 7, 2023
Effective Date: April 1, 2023
Topics: Home and community based services

District of Columbia

An exemption from the Medicaid Recovery Audit Contractor (RAC) requirements for two years.

Approval Date: August 4, 2023
Effective Date: June 1, 2023
Topics: Program Administration

Northern Mariana Islands

This amendment is to temporarily limit otherwise covered benefits for adult beneficiaries for the period June 1, 2023 through September 30, 2023 in response to the territory’s federal funding shortfall.   

Approval Date: August 4, 2023
Effective Date: June 1, 2023

Nevada

This amendment adds medication-assisted treatment to the Alternative Benefit Plan.

Approval Date: August 3, 2023
Effective Date: October 1, 2020

North Dakota

This state plan amendment implements a 3.5% inflationary increase for Personal Care Services.

Approval Date: August 3, 2023
Effective Date: July 1, 2023

Louisiana

The purpose of this SPA is to amend the provisions governing home health services to align reimbursement with the Louisiana Medicaid fee schedule.

CMS is issuing this technical correction package for LA-23-0029 to exclude page 2a which is being deleted and to include pages 4 and 5 which were inadvertently excluded from the approval package.

Approval Date: August 3, 2023
Effective Date: April 3, 2023