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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 7441 - 7450 of 15828

Kentucky
This SPA modifies the state's payment for service provided in nursing facility brain injury units.
Approval Date: June 14, 2018
Effective Date: September 1, 2018
Topics: Financing & Reimbursement

Kansas
This amendment modif\u00ECes the readmission policy for inpatient hospital care after discharge.
Approval Date: June 14, 2018
Effective Date: January 1, 2018
Topics: Benefits Program Administration

Connecticut
This is submitted to add clarifying updates to the Person-Center Medical Homes (PCMH+) program and update dental coverage limits.
Approval Date: June 14, 2018
Effective Date: January 1, 2018

Wisconsin
Former Foster Care Youth.
Approval Date: June 13, 2018
Effective Date: January 1, 2018

Alabama
This SPA modifies the DME reimbursement in accordance with the 21st Century Cures Act. Specifically, the pricing methodology for DME items described in section 1861(n) of the Social Security Act will be equal to the lower of the DMEPOS non-rural Medicare rate or the competitive bidding area rate specific to Alabama.
Approval Date: June 13, 2018
Effective Date: May 1, 2018
Topics: Financing & Reimbursement

Massachusetts
Update the payment regulation citations and effective dates for substance use disorder clinic services.
Approval Date: June 13, 2018
Effective Date: January 1, 2018
Topics: Financing & Reimbursement

New York
This SPA established the new Integrated Licensing Program reimbursement methodology for authorized freestanding clinics licensed pursuant to Articles 31 and 32 of New York Public Health Law.
Approval Date: June 12, 2018
Effective Date: January 1, 2013
Topics: Financing & Reimbursement

New York
This SPA established the new Integrated Licensing Program reimbursement methodology for authorized hospital-based clinics.
Approval Date: June 12, 2018
Effective Date: January 13, 2013
Topics: Financing & Reimbursement

New York
Established the new Integrated Licensing Program reimbursement methodology for authorized.
Approval Date: June 12, 2018
Effective Date: January 1, 2013
Topics: Financing & Reimbursement

Washington
This amendment pays for services provided through the Collaborative Care Model (CoCM).
Approval Date: June 12, 2018
Effective Date: January 1, 2018
Topics: Benefits Financing & Reimbursement