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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 2021 - 2030 of 15700

Ohio

To add transportation as an allowable rural health clinic service and dietician services as allowable rural health clinic and federally qualified health center services.

Approval Date: August 3, 2023
Effective Date: July 1, 2022

Alaska
CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to rescind SPA AK-22-0014, which temporarily extended the flexibility of a 10% rate increase for providers of Title XIX HCBS services effective 4/30/23. Effective May 1, 2023, AK 23-0004, will permanently implement the 10% increase plus the rebased amount for each of the listed Title XIX state plan Home and Community-Based Services: personal care, targeted case management, and 1915(k) Community First Choice Services, which replaces the AK 23-0005 rescission amendment.
Approval Date: August 3, 2023
Effective Date: April 30, 2023
Topics: Disaster Relief Reimbursement

Delaware
CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to align the resumption of premiums with the end of the unwinding period and to assign dates to the temporarily extended suspension of member copays and premiums.
Approval Date: August 3, 2023
Effective Date: December 1, 2023
Topics: Disaster Relief Eligibility

Massachusetts
CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to extend availability of hospital presumptive eligibility (HPE) to non-MAGI individuals.
Approval Date: August 3, 2023
Effective Date: May 12, 2023
Topics: Disaster Relief Eligibility

Washington
CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to gradually decrease the enhanced supplemental payments during the period of April 1, 2023, through December 31, 2023 for Inpatient & Outpatient Supplemental Payments Post-PHE Unwind (Safety Net Assessment Fund).
Approval Date: August 3, 2023
Effective Date: April 1, 2023
Topics: Disaster Relief Reimbursement

Washington
CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to gradually decrease the enhanced supplemental payments during the period of April 1, 2023, through December 31, 2023 for supplemental payments for Small Rural Disproportionate Share Hospitals.
Approval Date: August 3, 2023
Effective Date: April 1, 2023
Topics: Disaster Relief Reimbursement

Nevada

This amendment adds medication-assisted treatment to the Alternative Benefit Plan.

Approval Date: August 3, 2023
Effective Date: October 1, 2020

North Dakota

This state plan amendment implements a 3.5% inflationary increase for Personal Care Services.

Approval Date: August 3, 2023
Effective Date: July 1, 2023

Louisiana

The purpose of this SPA is to amend the provisions governing home health services to align reimbursement with the Louisiana Medicaid fee schedule.

CMS is issuing this technical correction package for LA-23-0029 to exclude page 2a which is being deleted and to include pages 4 and 5 which were inadvertently excluded from the approval package.

Approval Date: August 3, 2023
Effective Date: April 3, 2023

North Carolina

This amendment is to add authority for the Community Care of North Carolina (CCNC) Primaty Care Case Management Entity (PCCMe) program to provide payments to fee-for-service (FFS) providers on behalf of the State, as described by 42 Code of Federal Regulations (CFR) 438.2.

Approval Date: August 3, 2023
Effective Date: May 12, 2023
Topics: Managed Care Program Administration Reimbursement