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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 7741 - 7750 of 15828

Ohio
Updates Inpatient Hospital APR-DRG reimbursement methodology.
Approval Date: February 8, 2018
Effective Date: July 6, 2017
Topics: Financing & Reimbursement

Indiana
Makes conforming changes to the state plan to reclassifies nursing consulting services that are not directly related to the provision of hands-on-resident care from the administrative component to the indirect care component.
Approval Date: February 8, 2018
Effective Date: October 1, 2017

Arizona
This amendment establishes a differential adjusted payment program for inpatient hospitals, effective October 1, 2017.
Approval Date: February 8, 2018
Effective Date: October 1, 2017
Topics: Financing & Reimbursement

California
This State plan amendment changes the provider type name from Christian Science to Religious Non-Medical Health Care Institutions (RNHCIs) and adds language regarding the reimbursement rate methodology for RNHCIs.
Approval Date: February 8, 2018
Effective Date: October 1, 2017
Topics: Program Administration

Kentucky
The purpose of this SPA is to make a technical change to DSH reimbursement.
Approval Date: February 8, 2018
Effective Date: December 21, 2017
Topics: Financing & Reimbursement

Arizona
Updates the State Plan to update LTAC and Rehab rates.
Approval Date: February 7, 2018
Effective Date: October 1, 2017
Topics: Financing & Reimbursement

Arizona
This amendment establishes a differential adjusted payment program for nursing home facilities.
Approval Date: February 7, 2018
Effective Date: October 1, 2017
Topics: Financing & Reimbursement

Pennsylvania
Continues DSH payments to qualifying hospitals providing obstetrical and neonatal intensive care services.
Approval Date: February 6, 2018
Effective Date: December 24, 2017

Pennsylvania
Continues DSH payments to hospitals with Burn Centers.
Approval Date: February 6, 2018
Effective Date: December 24, 2017
Topics: Financing & Reimbursement

Pennsylvania
Continues DSH payments to Level I, II, and III trauma hospitals.
Approval Date: February 6, 2018
Effective Date: December 24, 2017
Topics: Financing & Reimbursement