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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 5991 to 6000 of 6104 results
Transmittal Number: DE-09-006
State: Delaware
Summary: This amendment specifies the qualifying criteria and payment methodology Delaware uses to determine payments to high cost outliers for inpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: GA-09-003
State: Georgia
Summary: The amendment updates the maximum allowable reimbursement for durable medical equipment services to more accurately match payments to the level of funding that was made available in the State Fiscal Year 2010 Appropriations Act.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CT-09-019
State: Connecticut
Summary: This proposed plan transmitted an amendment to the approved Title XIX State plan proposing to reduce provider methadone maintenance rates to the Medicare Upper Payment Limit ($85.53 per week) or by 3%, which ever results in a higher rate.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-09-007
State: Alabama
Summary: Reimburses Medicaid enrolled pharmacy providers for the administration of the influenza and H1N1 vaccines for eligible recipients.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: ID-08-014
State: Idaho
Summary: This amendment revises the reimbursement methodology for Partial Care services provided by other health professionals authorized to administer mental health clinic services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NY-09-47
State: New York
Summary: Emergency Medical Transportation Services Supplemental Payment.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: VI-09-02E
State: Virgin Islands
Summary: Incorporates a certified public expenditure methodology into the reimbursement for outpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: TX-09-29-R
State: Texas
Summary: Modifies Reimbursement Methodology for Program for all Inclusive Care for Elderly (PACE).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: KS-09-03
State: Kansas
Summary: Methods and standards for establishing nursing facility payment rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: NC-09-023
State: North Carolina
Summary: This amendment adjusts State Fiscal Year (SF) 2010 rates for Local Education Agencies based on an overall program reduction of 9.00% for SFY 2010. SFY 2011 rates are to be frozen at the SFY 2010 amount.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT