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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 5141 - 5150 of 15690

Oregon
creates a bariatric rate for nursing facilities and establishes CNA staffing ratio requirements related to the facilities' bariatric census. 
Approval Date: October 28, 2020
Effective Date: July 1, 2020
Topics: Financing & Reimbursement

Pennsylvania
continues the application of a budget adjustment factor for private and non-state government owned nursing facilities
Approval Date: October 28, 2020
Effective Date: July 1, 2020

Indiana
Updates the Medicaid reimbursement rates for medical equipment (ME) and medical supplies HCPCS codes subject to the requirements of the 21st Century Cures Act of 2016. 
Approval Date: October 28, 2020
Effective Date: January 1, 2021
Topics: Financing & Reimbursement

Missouri
Updates the provider fee schedule to add a modifier for individual, family, and group psychotherapy procedure codes to pay an enhanced rate for providers certified in specific evidence-based practices that provide evidence-based treatment to individuals under 21 years of age who have experienced severe physical, sexual, or emotional trauma as a result of abuse or neglect.
Approval Date: October 28, 2020
Effective Date: July 1, 2020
Topics: Financing & Reimbursement

New York
Proposes to eliminate the reduction to the statewide base price for inpatient services
Approval Date: October 27, 2020
Effective Date: April 1, 2015

Colorado
provides for a two percent increase to the statewide average Medicaid Management Information Systems (MMIS) reimbursement rate.
Approval Date: October 27, 2020
Effective Date: July 31, 2020
Topics: Financing & Reimbursement

Virginia
The purpose of this SPA is to amend the state plan to allow nurse practitioners, clinical nurse specialists, and physician assistants to order and certify home health services.  
Approval Date: October 27, 2020
Effective Date: October 25, 2020
Topics: Current State Plan Health Homes Program Administration

Massachusetts
CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to update payment Methodologies For Certain Long-Term Services and Support during the COVID-19 Emergency Period as well as expand the provider types that can order, certify and recertify member's home health care plans.
Approval Date: October 27, 2020
Effective Date: March 1, 2020
Topics: Benefits Disaster Relief Financing & Reimbursement

New Hampshire
Revises the April 2020 nursing home supplemental payment, also known as MQIP, for dates of service in the quarter ending March 31, 2020. 
Approval Date: October 26, 2020
Effective Date: January 1, 2020
Topics: Financing & Reimbursement Program Administration

Arkansas
Changes the limit on Assessment and Treatment Plan Development from 1 unit per year to 2 units per year
Approval Date: October 26, 2020
Effective Date: January 1, 2021
Topics: Program Administration