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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 7261 - 7270 of 15830

North Dakota
This enables the North Dakota Medicaid program to enroll Registered Nurses to provide nursing services in the school setting.
Approval Date: August 28, 2018
Effective Date: June 1, 2018
Topics: Program Administration

Montana
This revises the effective date for the Private Duty Nursing (PDN) fee.
Approval Date: August 28, 2018
Effective Date: July 1, 2018
Topics: Financing & Reimbursement

Illinois
This is a rate Increases for Alcoholism and Substance Abuse Treatment.
Approval Date: August 27, 2018
Effective Date: July 1, 2018
Topics: Financing & Reimbursement

Ohio
Revised coverage and Pyaments for Dental Services.
Approval Date: August 27, 2018
Effective Date: July 1, 2018
Topics: Financing & Reimbursement

Connecticut
Revises the Family Planning Clinic, Ambulatory Surgical Center, Behavioral Health Clinic, and Rehabilitation Clinic fee schedules.
Approval Date: August 26, 2018
Effective Date: January 1, 2016
Topics: Financing & Reimbursement

Montana
This updates the reimbursement methodology for Montana's Graduate Medical Education (GME) Program.
Approval Date: August 24, 2018
Effective Date: July 1, 2018
Topics: Financing & Reimbursement

Iowa
This includes the following two (2) additional remedies when nursing facilities in the state are not in compliance: 1) Directed plan of correction; and 2) Directed in-service training.
Approval Date: August 24, 2018
Effective Date: July 1, 2018
Topics: Program Administration

Nevada
Updated language related to payment of claims to be consistent with current methodology for cost avoidance and cost savings programs.
Approval Date: August 24, 2018
Effective Date: August 27, 2018
Topics: Financing & Reimbursement

Massachusetts
This proposes comprehensive changes to rate year (RY) 2018 reimbursement methodology lor three (3) distinct type of private inpatient chronic disease and rehabilitation (CDR) hospital services (specified, pediatric, and all other non-pediatric) resulting in a total increase of $19.2M.
Approval Date: August 23, 2018
Effective Date: October 1, 2017
Topics: Financing & Reimbursement

South Dakota
This increases and also clarifies the reimbursement methodology for out of state specialty hospitals.
Approval Date: August 23, 2018
Effective Date: April 1, 2018