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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 7681 - 7690 of 15828

Wyoming
Reimbursement update for AVS.
Approval Date: March 9, 2018
Effective Date: January 1, 2018
Topics: Financing & Reimbursement

Colorado
Reimbursement update for ABP5 Amendment.
Approval Date: March 9, 2018
Effective Date: October 1, 2017
Topics: Financing & Reimbursement

Colorado
Reimbursement update for Screening, Brief Intervention, and Referral to Treatment (SBIRT).
Approval Date: March 9, 2018
Effective Date: October 1, 2017
Topics: Financing & Reimbursement

Montana
Reimbursement update for Outpatient Drugs Services.
Approval Date: March 9, 2018
Effective Date: January 1, 2018
Topics: Financing & Reimbursement

South Carolina
This SPA modifies the State's reimbursement methodology for setting payment rates for Intermediate Care Facilities/Individuals with Intellectually Disabilities (ICF/IIDs).
Approval Date: March 8, 2018
Effective Date: July 1, 2017
Topics: Financing & Reimbursement

New York
Ends Express Lane Eligibility.
Approval Date: March 8, 2018
Effective Date: October 1, 2017

Florida
This SPA proposes to implement UPL supplemental payments for eligible Cancer hospitals that are members of the Alliance of Dedicated Cancer Centers.
Approval Date: March 8, 2018
Effective Date: October 26, 2017
Topics: Financing & Reimbursement

Massachusetts
Revises the payment methodologies for acute hospital outpatient services, effective 10/01/2017.
Approval Date: March 8, 2018
Effective Date: October 1, 2017
Topics: Financing & Reimbursement

Arkansas
Eliminates the requirement of a Primary Care Physician (PCP) referral for Chiropractic services.
Approval Date: March 8, 2018
Effective Date: January 1, 2018

Kentucky
This SPA was submitted as a technical correction, revises the reimbursement methodology for critical access hospitals (CAHs). Specifically, this SPA allows reimbursement of 101% of cost for outpatient clinical laboratory services.
Approval Date: March 8, 2018
Effective Date: October 1, 2017
Topics: Financing & Reimbursement