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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 7471 - 7480 of 15827

Washington
This SPA also adds a description of the payment methodology for critical care services.
Approval Date: May 30, 2018
Effective Date: April 1, 2018
Topics: Financing & Reimbursement

Washington
This amendment updated the effective date for FFS rates paid for detoxification services provided in approved alcohol/drug treatment centers.
Approval Date: May 29, 2018
Effective Date: April 8, 2018
Topics: Program Administration

California
Updates the state plan to reflect that only San Francisco County will implement a Health Homes Program.
Approval Date: May 29, 2018
Effective Date: July 1, 2018
Topics: Benefits Program Administration

Massachusetts
This SPA updates the rates for physician and midlevel practitioner services.
Approval Date: May 29, 2018
Effective Date: March 1, 2018
Topics: Financing & Reimbursement

Massachusetts
This SPA updates the coverage provisions for targeted case management services for individuals with AIDS living in congregate housing.
Approval Date: May 29, 2018
Effective Date: April 1, 2008

Massachusetts
This SPA updates the payment rates for DME and oxygen.
Approval Date: May 29, 2018
Effective Date: March 1, 2018
Topics: Financing & Reimbursement

Alabama
This SPA adds TCM services for Medicaid-eligible individuals who have a diagnosed substance use disorder or substance-induced disorder, and revises outdated language for Target Group 1, Mentally Ill Adults, and Target Group 3, Disabled Children.
Approval Date: May 25, 2018
Effective Date: May 1, 2018

Kentucky
This amendment updates the tobacco cessation services sections of the state plan to provide for coverage of Food and Drug Administration (FDA) approved tobacco cessation medications and tobacco cessation services recommended by the U.S. Preventive Services Task Force.
Approval Date: May 25, 2018
Effective Date: July 1, 2018

Massachusetts
This SPA was originally submitted as part of SPA No. 09-010, which was subsequently split into three parts. SPA 09-010(C) revises your approved Title XIX State plan to update the reimbursement methodologies for multiple services.
Approval Date: May 24, 2018
Effective Date: March 1, 2018
Topics: Financing & Reimbursement

California
This SPA makes a technical change to remove the comprehensive diagnostic evaluation (CDE) requirement for children diagnosed with autism spectrum disorder (ASD) to receive Behavioral Health Treatment (BHT) services under the preventive services benefit of the Medicaid state plan.
Approval Date: May 24, 2018
Effective Date: March 1, 2018
Topics: Program Administration