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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 7341 - 7350 of 15829

Washington
Provides a one-year (for SFY 2019) rate enhancement for the inpatient and outpatient hospital services of qualifying State and NSGO sole community hospitals by increasing the hospital specific conversion factor to 1.50 from the current 1.25.
Approval Date: July 25, 2018
Effective Date: July 1, 2018
Topics: Financing & Reimbursement

New York
Amends and updates the State's APG system for Freestanding Clinic services.
Approval Date: July 24, 2018
Effective Date: January 1, 2018
Topics: Program Administration

South Carolina
This state plan modifies the frequency of the third party liability (TPL) health recovery cycle from quarterly to monthly.
Approval Date: July 24, 2018
Effective Date: July 1, 2018
Topics: Program Administration

New York
This amendment updates the direct price peer group limit used in setting nursing facility (NF) per-diem rates.
Approval Date: July 24, 2018
Effective Date: April 1, 2018
Topics: Financing & Reimbursement

Colorado
Reimbursement update for DME Rates.
Approval Date: July 23, 2018
Effective Date: July 1, 2018
Topics: Financing & Reimbursement

Oklahoma
To amend the state plan allowing the discontinuation of a recovery audit contractor (RAC) for a period of two years from the approved effective date.
Approval Date: July 20, 2018
Effective Date: April 1, 2018
Topics: Program Administration

Arizona
This amendment changes Arizona's disproportionate share hospital payment pool amounts for the state plan rate year ending 2018.
Approval Date: July 19, 2018
Effective Date: July 1, 2018
Topics: Financing & Reimbursement

Wisconsin
Outpatient Hospital Rates and Methodologies.
Approval Date: July 19, 2018
Effective Date: January 1, 2017
Topics: Financing & Reimbursement

California
Provides an increase to the supplemental payment amount for Martin Luther King, Jr. - Los Angeles Healthcare Corporation (MLK-LA).
Approval Date: July 19, 2018
Effective Date: July 1, 2018
Topics: Financing & Reimbursement

Arkansas
This combines the current Developmental Day Treatment Clinic Services (DDTCS) for children and Child Health Management Services (CHMS) into a single program designated as Early Intervention Day Treatment (EIDT).
Approval Date: July 18, 2018
Effective Date: July 1, 2018
Topics: Program Administration