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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 7721 - 7730 of 15828

Delaware
This amendment modifies Delaware's Alternative Benefit Plan (ABP) to update the base benchmark plan already in use to plan year 2014 from plan year 2012 and to align with the changes made to Delaware's Medicaid State Plan since ABP implementation.
Approval Date: February 26, 2018
Effective Date: October 1, 2017
Topics: Program Administration

Arizona
Updates the State Plan establishes differential adjusted payments for integrated clinics, physicians, physician's assistants, and registered nurse practitioners.
Approval Date: February 22, 2018
Effective Date: October 1, 2017
Topics: Financing & Reimbursement

Ohio
Coverage and Limitations and Payment for Services: Rehabilitative Services: Substance Use Disorder: ASAM Criteria, Updated Rates.
Approval Date: February 22, 2018
Effective Date: January 1, 2018
Topics: Financing & Reimbursement

Michigan
Make changes to ABP5 to allow eligible providers to be reimbursed for intensive pediatric feeding services.
Approval Date: February 21, 2018
Effective Date: May 1, 2018
Topics: Financing & Reimbursement

Washington
The SPA implements a single Medicaid Apple Health Preferred Drug List (PDL), to be used by Washington's contracted Medicaid managed care organizations (MCOs) and the fee-for-service (FFS).
Approval Date: February 20, 2018
Effective Date: January 1, 2018
Topics: Financing & Reimbursement Prescription Drugs

Massachusetts
Outpatient Prescriptlon Drug Rates.
Approval Date: February 20, 2018
Effective Date: April 1, 2017

Maine
This SPA increases the standards for the optional State supplementary payment program.
Approval Date: February 16, 2018
Effective Date: January 1, 2018
Topics: Financing & Reimbursement

Iowa
Implements a Asset Verification Program.
Approval Date: February 13, 2018
Effective Date: December 1, 2017
Topics: Program Administration

Nevada
The SPA removes limitations on podiatry services.
Approval Date: February 13, 2018
Effective Date: January 1, 2018

Arizona
This SPA revises the provisions concerning deductions from the post-eligibility share of cost calculation.
Approval Date: February 13, 2018
Effective Date: April 1, 2018
Topics: Financing & Reimbursement Program Administration