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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 5577 results
Transmittal Number: OK-21-0027
State: Oklahoma
Summary: Oklahoma's Annual Rebasing of Rates for regular nursing facilities 
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: OK-21-0022-C
State: Oklahoma
Summary: The primary purpose of this SPA is to remove health home program services which will be covered and reimbursed under the state plans Certified Community Behavioral Health (CCBH) services.
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  • Financing & Reimbursement
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Transmittal Number: UT-21-0013
State: Utah
Summary: updates the methodology for Disproportionate Share Hospitals (DSH).
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  • Financing & Reimbursement
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Transmittal Number: WY-20-0012
State: Wyoming
Summary: This state plan amendment (SPA) removes Chiropractic services for individuals over the age of 21 from the Wyoming State plan as approved by the Wyoming Legislation.
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Topics:
  • Coverage
  • Financing & Reimbursement
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Transmittal Number: CA-21-0002
State: California
Summary: The purpose of this amendment is to renew California’s 1915(i) State Plan HCBS benefit.
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Topics:
  • Benefits
  • Financing & Reimbursement
Links:
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Transmittal Number: IL-21-0012
State: Illinois
Summary: Repeal of 3.5% rate reduction to reimbursement for hospital services effective with inpatient admissions and outpatient services on or after July 1, 2021.
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  • Financing & Reimbursement
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Transmittal Number: OH-21-0020
State: Ohio
Summary: Amends payments for services: Ambulatory Health Care Clinics
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  • Financing & Reimbursement
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Transmittal Number: MO-21-0028
State: Missouri
Summary: This plan amendment updates the agency's fee schedule effective date in order to facilitate a reimbursement rate increase for select Applied Behavior Analysis Services
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  • Financing & Reimbursement
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Transmittal Number: WA-21-0017
State: Washington
Summary: This SPA plans to implement changes to the inpatient psychiatric per diem rate for hospitals licensed under chapter as free-standing psychiatric hospitals providing long-term civil commitment services
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  • Financing & Reimbursement
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Transmittal Number: CO 21-0013
State: Colorado
Summary: This plan amendment allows an increase to certain Medicaid provider rates by 2.5% for specific services in accordance with the 2021 Long Bill (SB21-205) for the State of Colorado
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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