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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 4531 - 4540 of 15820

Mississippi
sets the fees for hearing aids
Approval Date: August 24, 2021
Effective Date: July 1, 2021
Topics: Financing & Reimbursement

Mississippi
Effective July 1, 2021, this amendment allows the Division of Medicaid (DOM) to set the fees for Independent Laboratory and X-ray services the same as those effective State Fiscal Year 2021, and removes the five percent (5%) reimbursement reduction.
Approval Date: August 24, 2021
Effective Date: July 1, 2021
Topics: Financing & Reimbursement

Mississippi
Effective July 1, 2021, this amendment allows the Division of Medicaid (DOM) to remove the five percent (5%) reimbursement reduction on podiatry services.
Approval Date: August 24, 2021
Effective Date: July 1, 2021
Topics: Financing & Reimbursement

Mississippi
set the fees for home health services
Approval Date: August 24, 2021
Effective Date: July 1, 2021
Topics: Financing & Reimbursement

Mississippi
set the fees for dental and orthodontic services
Approval Date: August 24, 2021
Effective Date: July 1, 2021
Topics: Financing & Reimbursement

Iowa
This plan amendment increases the reimbursement rates for home health agencies based on the Medicare low utilization payment adjustment (LUPA) methodology
Approval Date: August 24, 2021
Effective Date: July 1, 2021
Topics: Financing & Reimbursement

Mississippi
Effective July 1, 2021, this amendment allows the Division of Medicaid (DOM) to remove the five percent (5%) reimbursement reduction for Targeted Case Management for Individuals with Intellectual Disabilities. 
Approval Date: August 24, 2021
Effective Date: July 1, 2021
Topics: Financing & Reimbursement

Washington
updates the current total amount of the Small Rural Disproportionate Share Hospital (SRDSH) “payment pool” through which SRDSH payments are made
Approval Date: August 23, 2021
Effective Date: July 1, 2021
Topics: Financing & Reimbursement

Missouri
removes or replaces obsolete processes, language, and terms; clarifies plan language; allows an extension for cost report filings for good cause shown; amends when cost reports are required for terminating providers or changes in providers; amends when payments will be withheld for late cost report submissions and terminating providers; establishes a required prior authorization process for any out-of-state nursing facility to be reimbursed for nursing facility services; and, revises the methodology for determining prospective rates.
Approval Date: August 23, 2021
Effective Date: November 1, 2020
Topics: Program Administration

New Jersey
adds office based addiction treatment and care coordination to the state's alternative benefit plan (ABP)
Approval Date: August 23, 2021
Effective Date: January 1, 2019