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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 1521 to 1530 of 2096 results
Transmittal Number: ME-22-0042
State: Maine
Summary: This amendment proposes to adjust the Accountable Communities (AC) total cost of care (TCOC) reconciliation for year seven (PY7), which covers August 2020 through July 2021.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
Links:
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Transmittal Number: CA-22-0053
State: California
Summary: This SPA updates the rate setting methodology for clinical laboratory and laboratory services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CA-22-0040
State: California
Summary: This SPA authorizes supplemental add-on payments to the fee schedule rates for eligible ground emergency medical transports provided July 1, 2022 through June 30, 2023.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CA-22-0039
State: California
Summary: This SPA exempts specified providers from the reduction specified in paragraphs (6) through (13), set forth on pages 3.1 through 3.4 of Attachment 4.19-B. In addition, NEMT base rates and supplemental payments are adjusted to maintain reimbursement levels following their exemption from the reduction.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NM-22-0021
State: New Mexico
Summary: New Mexico is updating its State Plan. Language is being added to clarify that telehealth and teleconsultation services are reimbursed at the same rate as face-to-face visits.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MN-22-0034
State: Minnesota
Summary: This plan amendment updates the rates for Youth ACT services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NC-22-0022
State: North Carolina
Summary: This state plan amendment will supersede SPA NC-21-0016 and will revise the FQHC Cost Based Alternate Payment Methodology (APM) for State Fiscal Year 2022-2023 dates of service.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MD-22-0021
State: Maryland
Summary: Maryland Medicaid will increase reimbursement rates for transportation provided by emergency medical services providers from $100 to $150.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CT-22-0024
State: Connecticut
Summary: This plan updates the rates and methodology for clinic services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CT-22-0022
State: Connecticut
Summary: This plan updates the rates and methodology for numerous non-institutional services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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