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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.

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Showing 5201 to 5210 of 5568 results
Transmittal Number: MI-10-014
State: Michigan
Summary: This amendment revises the methodology for making disproportionate share hospital (DSH) payments from the Small Hospitals and Outpatient Uncompensated Care DSH pools.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: MT-11-002
State: Montana
Summary: This amendment modifies the State Fiscal Year (SFY) quarter in which supplemental DSH payments, continuity of care payments, and hospital reimbursement adjustment payments will be paid to eligible providers.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NY-07-45
State: New York
Summary: Reimbursement for Telehealth Services Provided by Certified Home Health Agency.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: NY-08-34
State: New York
Summary: Outpatient Upper Payment Limit Payments Non State Owned or Operated Government Generated Hospitals FMAP.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: ND-10-008
State: North Dakota
Summary: Update Medicaid Estate Recoveries to conform to MIPPA Section 115 and ARRA Section 5006(c).
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Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: NY-09-16
State: New York
Summary: Upper Payment Limit (UPL) Payments for HHCs (FMAP = 61.59%).
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Effective Date:
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  • Financing & Reimbursement
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Transmittal Number: ME-10-006
State: Maine
Summary: Revises the Maine multi-state supplemental rebate agreement.
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Effective Date:
Topics:
  • Financing & Reimbursement
  • Prescription Drugs
  • Program Administration
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Transmittal Number: OR-10-20
State: Oregon
Summary: Technical correction to reflect the current payment method for health services.
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Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: LA-10-39
State: Louisiana
Summary: Restores the per diem rate for non-state intermediate care facilities for persons with developmental disabilities that downsize large facilities to less than 35 beds and incur unusually high costs.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: LA-10-47
State: Louisiana
Summary: Establishes a transitional Medicaid reimbursement rate for a public ICF/DD community home that is transitioning to a private facility.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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