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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 9001 - 9010 of 15875

Illinois
Freestanding Birth Centers Rate Reduction.
Approval Date: October 17, 2016
Effective Date: May 1, 2015

Illinois
Rate reductions for Private Day Nursing, Independent Therapies, Appliances/Prostheses, DME/Supplies, and Transportation.
Approval Date: October 17, 2016
Effective Date: May 1, 2015
Topics: Benefits Financing & Reimbursement

Tennessee
Requested a change to update who is authorized to submit TN State Plan Amendments.
Approval Date: October 17, 2016
Effective Date: October 1, 2016

New York
Hospital-based Outpatient: CAHs Phase 2 Group 2 FMAP 50%.
Approval Date: October 17, 2016
Effective Date: February 1, 2014

Ohio
Modifies provisions in Supplement 1 to align with recent legislation adopted under Amended Substitute House Bill 64 of the 1315 Ohio General Assembly to rebase NF rates in conjunction with the implementation of the RUG IV system as proposed in OH SPA TN 16-012.
Approval Date: October 14, 2016
Effective Date: July 1, 2016

Ohio
Modifies provisions in Supplement 1 to align with recent legislation adopted under Amended Substitute House Bill 64 o 13151 Ohio General Assembly to implement the RUG IV system in nursing facilities.
Approval Date: October 14, 2016
Effective Date: March 1, 2016
Topics: Benefits Program Administration

Delaware
Revises the State Plan regarding the Pharmaceutical Services, specifically to require entities that purchase 340B drug products to request to use these drugs for all Department of Medical Assistance Program (DMA) patients, including Medicaid fee-for-service patients and for patients whose care is covered by Medicaid Managed Care Organizations.
Approval Date: October 13, 2016
Effective Date: January 1, 2016
Topics: Financing & Reimbursement Prescription Drugs

Ohio
Targeted Case Management Services Provided to Individuals with Development Disabilities.
Approval Date: October 13, 2016
Effective Date: November 1, 2016

New York
Modifies the listing of hospital-based outpatient providers that the state has designated as Vital Access Provider (VAP) payments for the period 01/01/2014 - 03/31/2016.
Approval Date: October 13, 2016
Effective Date: January 1, 2014

Maine
Revises how the household size and household income are calculated for an individual who requests coverage for family planning services.
Approval Date: October 12, 2016
Effective Date: October 1, 2016