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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 7461 - 7470 of 15828

Ohio
Payment for Services: Supplemental Payments for Qualifying Physician and Professional Services.
Approval Date: June 5, 2018
Effective Date: October 20, 2017
Topics: Financing & Reimbursement

Kentucky
This SPA removes from the state plan the eligibility of former foster care youth under age 26 who were in foster care under the responsibility of another state, and enrolled in Medicaid at the time they turned 18 or aged out of the foster care system in the other state.
Approval Date: June 4, 2018
Effective Date: January 12, 2018

Louisiana
Revises the plan pages under the Inpatient Psychiatric Services for Individuals under 2l Years of Age.
Approval Date: June 4, 2018
Effective Date: December 1, 2015
Topics: Benefits Program Administration

Illinois
Alternative Payment Methodology for Federally Qualified Health Centers and Rural Health Centers Contracting Under Managed Care.
Approval Date: June 1, 2018
Effective Date: January 1, 2018
Topics: Financing & Reimbursement

North Dakota
Reimbursement update for ABP.
Approval Date: June 1, 2018
Effective Date: January 1, 2018
Topics: Financing & Reimbursement

New Hampshire
Proposed changes to copayment amount for NH Premium Assistance Program (PAP) participants above 100% FPL in order to meet 94% actuarial value requirements in accordance with Section 1302 of the Affordable Care Act (ACA).
Approval Date: June 1, 2018
Effective Date: January 1, 2018
Topics: Financing & Reimbursement

Kansas
This page includes language which describes reimbursement methodologies for prescribed drugs based on the estimated acquisition cost (EAC).
Approval Date: June 1, 2018
Effective Date: April 13, 2018
Topics: Financing & Reimbursement

Colorado
Reimbursement update for Outpatient Hospital Services.
Approval Date: May 31, 2018
Effective Date: July 1, 2018
Topics: Financing & Reimbursement

Michigan
This SPA adjusts the PACE enrollment/disenrollment process from paper to electronic as part of the Community Health Automated Medicaid Processing System (CHAMPS) Modernizing Continuum of Care (MCC) project.
Approval Date: May 31, 2018
Effective Date: January 1, 2018

Connecticut
This SPA reflects changes in the model of providing Non-Emergency Medical Transportation (NEMT) to Medicaid beneficiaries.
Approval Date: May 31, 2018
Effective Date: January 1, 2018