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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 7731 - 7740 of 15828

Alaska
This SPA provides for the verification of assets for the purposes of determining and re-determining Medicaid eligibility for aged, blind and disabled Medicaid applicants and recipients using an Asset.
Approval Date: February 12, 2018
Effective Date: October 1, 2017
Topics: Eligibility Program Administration

Colorado
Reimbursement update for Physical Therapy and Occupational Therapy.
Approval Date: February 9, 2018
Effective Date: December 1, 2017
Topics: Financing & Reimbursement

Arkansas
This amendment was submitted to transition the Arkansas Medicaid eligibility criteria from being a "determination" State to an "assessment" State by removing the authority to delegate eligibility to the Health Care Exchange.
Approval Date: February 9, 2018
Effective Date: January 1, 2018
Topics: Program Administration

Virginia
The SPA also clarifies definitions, service components, staff requirements, and service limits for therapeutic group home services.
Approval Date: February 9, 2018
Effective Date: July 1, 2017
Topics: Program Administration

Washington
This SPA updates the APR-DRG classification software for dates of admission on or after April l, 2018 from version 3l to version 33.
Approval Date: February 8, 2018
Effective Date: April 1, 2018
Topics: Prescription Drugs Program Administration

Wisconsin
Medicaid Reimbursement of Ambulatory Surgical Centers.
Approval Date: February 8, 2018
Effective Date: October 1, 2017
Topics: Financing & Reimbursement

Nebraska
Revises the definition of estate for purposes of Estate Recovery.
Approval Date: February 8, 2018
Effective Date: October 1, 2017
Topics: Program Administration

West Virginia
Neonatal Abstinence Syndrome Treatment Services.
Approval Date: February 8, 2018
Effective Date: October 1, 2017

West Virginia
West Virginia is requesting an exception from the RAC requirements of Section 1902(a)(42)(B)(i) of the Social Security Act.
Approval Date: February 8, 2018
Effective Date: October 1, 2017
Topics: Program Administration

Rhode Island
Makes two revisions to nursing facilities reimbursement rates: l) phases out the Direct Care policy adjustor in increments of twenty-five (25%) percent; and2) implements a rate freeze for a twelve ( 12mths) months period.
Approval Date: February 8, 2018
Effective Date: October 1, 2017
Topics: Financing & Reimbursement