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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 7321 - 7330 of 15830

Arizona
This SPA updates the Asset Verification System (AVS) section of the State Plan to reflect Arizona's election to join a consortium of several states to develop an AVS.
Approval Date: July 31, 2018
Effective Date: May 1, 2018
Topics: Current State Plan Program Administration

Oklahoma
This proposes to remove any reference to cosmetic and hair growth medications and sexual or erectile dysfunction medications language from the state plan pages. Section 5008 of the 21st Century Cures Act .
Approval Date: July 31, 2018
Effective Date: April 1, 2018
Topics: Program Administration

Pennsylvania
Brings Pennsylvania into compliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment period (CMS-2345-FC).
Approval Date: July 30, 2018
Effective Date: April 1, 2017
Topics: Financing & Reimbursement

New York
This SPA adjusts Article 16 clinic rates for increased labor costs due to statutorily required increases in New York State minimum wages.
Approval Date: July 30, 2018
Effective Date: January 1, 2018
Topics: Financing & Reimbursement

Maryland
Update the reimbursement rate for Targeted Case Management providers by three and a half percent based on a legislative approved Cost of Living Adjustment.
Approval Date: July 30, 2018
Effective Date: July 1, 2018
Topics: Financing & Reimbursement

Maine
Amend the State's approved Title XIX State Plan to update dental reimbursement under the Medicaid State Plan.
Approval Date: July 30, 2018
Effective Date: April 1, 2018

Colorado
Updates two SPA pages for Medicare Savings Programs that allow a higher resource limit.
Approval Date: July 30, 2018
Effective Date: April 1, 2018
Topics: Program Administration

Illinois
This SPA revises the supplemental drug rebate contract to allow the department to collect rebate of managed care organization utilization.
Approval Date: July 30, 2018
Effective Date: July 1, 2018
Topics: Program Administration

Illinois
Extends the psychiatric add-on payment for physicians, advanced practice nurses and community mental health practitioners.
Approval Date: July 27, 2018
Effective Date: July 1, 2018
Topics: Program Administration

Ohio
Coverage & Payment: Dental Services.
Approval Date: July 26, 2018
Effective Date: July 1, 2018
Topics: Benefits Dental Financing & Reimbursement