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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 321 to 330 of 5684 results
Transmittal Number: NY-21-0043
State: New York
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment to increase the current COVID-19 Vaccine Administration Fee from $13.23 per dose to $40.00 per dose to all qualified Medicaid enrolled health care providers except when it is a Federally Qualified Health Center or Rural Health Center encounter.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
  • Vaccine
Links:
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Transmittal Number: CA-21-0030
State: California
Summary: continues Prop. 56 supplemental payments for certain dental services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NE-21-0011
State: Nebraska
Summary: updates outpatient and professional provider rates for SFY 2022.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: TN-21-0005
State: Tennessee
Summary: Updates the TennCare reimbursement rates for ground ambulance services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NY-21-0052
State: New York
Summary: New York State Department of Health which updates the Ambulatory Patient Group (APG) for outpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NY-21-0057
State: New York
Summary: New York State Department of Health amends Early Periodic Screening, Diagnostic, and Treatment (EPSDT) Tuberculosis TB and Interpreter Rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-21-0026
State: Washington
Summary: The purpose of this SPA is to increase the reimbursement rates for Individual Providers, Agency Providers, and Adult Family Homes, and raise the Nursing Facility budget dial and swing bed rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: HI-21-0011
State: Hawaii
Summary: This amendment changes the payment methodology for inpatient acute services to the All Patients Refined Diagnosis Related Groups (APR DRG) prospective payment system. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: ND-21-0017
State: North Dakota
Summary: This SPA amends the State Plan to update pages related to cooperative arrangements with the State vocational rehabilitative agency and Title V grantee.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NY-20-0077
State: New York
Summary: Medication Assisted Treatment (MAT) (FMAP=50%)
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT