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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 7781 - 7790 of 15828

Nebraska
This SPA adds additional Medicaid reimbursable services when provided by a school district per Nebraska Revised Statute 68-911.
Approval Date: January 25, 2018
Effective Date: September 1, 2017
Topics: Benefits Financing & Reimbursement

Michigan
Approved Primary Care Services rates.
Approval Date: January 25, 2018
Effective Date: January 1, 2018
Topics: Financing & Reimbursement

Nevada
Adds the maximum quantity of medication per prescription for maintenance medications as a 100-day (3 month) supply, and the maximum quantity of medication for contraceptives as a 12-month supply.
Approval Date: January 25, 2018
Effective Date: January 1, 2018

Kansas
This Amendment corrects the State plan regarding the state's payment of Medicare Part A and B deductibles and cost-sharing on Medicare crossover claims.
Approval Date: January 25, 2018
Effective Date: December 19, 2017
Topics: Cost Sharing Financing & Reimbursement

Maine
Allows CHIP eligibility for all children with access to public employee coverage based on family members employment.
Approval Date: January 25, 2018
Effective Date: July 1, 2017
Topics: Eligibility Program Administration

Indiana
This State Plan Amendment adds reimbursement for the services of genetic counselors.
Approval Date: January 25, 2018
Effective Date: October 1, 2017
Topics: Financing & Reimbursement

Colorado
Clarifies the list ofallowable outpatient substance abuse treatment providers.
Approval Date: January 24, 2018
Effective Date: October 1, 2017
Topics: Program Administration

Mississippi
Revise the payment methodology for DME and medical supplies.
Approval Date: January 24, 2018
Effective Date: November 9, 2017
Topics: Financing & Reimbursement

Ohio
Payment for Physicians and Licensed Practitioners services.
Approval Date: January 24, 2018
Effective Date: January 1, 2018
Topics: Cost Sharing Financing & Reimbursement

Michigan
This SPA will provide details describing the methodology for establishing rates associated with neonatal and obstetrical.
Approval Date: January 23, 2018
Effective Date: October 24, 2017
Topics: Program Administration