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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 8351 - 8360 of 15875

New York
Removes eligibility for individuals who were in foster care and on Medicaid in any state at the time they turn or aged out of the foster care system.
Approval Date: July 11, 2017
Effective Date: June 30, 2017
Topics: Eligibility Program Administration

Washington
Clarifies the personal care providers may not work more hours in a week than approved by Department of Social and HealthServices and the timing and approval process for person-centered service planning and program eligibility.
Approval Date: July 11, 2017
Effective Date: April 6, 2017

Utah
Reimbursement update for Ambulance Rates.
Approval Date: July 11, 2017
Effective Date: July 10, 2017

New York
The originally submitted SPA 09-0023 concerned rates of payment for hospital and outpatient clinic emergency department, certified health agency, adult day health and freestanding diagnostic and treatment center services. The SPA was split into two parts: 09-0023-A and 09-0023-B. SPA 09-0023-A, which contained the reimbursement-related provisions, was previously approved.
Approval Date: July 10, 2017
Effective Date: April 1, 2009

West Virginia
Updates the disproportionate share hospital payment redistribution methodology.
Approval Date: July 10, 2017
Effective Date: July 1, 2016

Utah
This State Plan Amendment implements a disregard from resources and income in regard to the UT Educational Savings Plan and eligibility determinations for certain groups.
Approval Date: July 8, 2017
Effective Date: July 1, 2017
Topics: Eligibility Financing & Reimbursement

New York
Limits the trend factor for inpatient hospital services to an amount to greater than zero for services provided on an after April 23, 2015 through March 31, 2017.
Approval Date: July 7, 2017
Effective Date: April 23, 2017
Topics: Financing & Reimbursement Program Administration

Ohio
Updates the name of the Ohio Department of Medicaid and to change the section number.
Approval Date: July 7, 2017
Effective Date: August 17, 2017

New Mexico
This plan amendment eliminates Medicaid eligibility to individuals formerly in other states' foster care systems who have turned age 18 or aged out of the foster care system.
Approval Date: July 6, 2017
Effective Date: April 1, 2017
Topics: Eligibility Program Administration

Louisiana
Updates the provisions governing former foster care adolescents in order to terminate the CMS-approved state option to provide Medicaid coverage to youth formerly enrolled in foster care under the responsibility of another state.
Approval Date: July 6, 2017
Effective Date: July 1, 2017