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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 1521 - 1530 of 15703

California

Effective January 1, 2023, this amendment provides for supplemental payments for private hospital outpatient services for the service period of January 1, 2023 to December 31, 2024. The supplemental payments are in addition to base rate payments and other supplemental payments, paid to private hospitals in California for the furnishing of Medicaid fee-for-service outpatient hospital services.

Approval Date: December 15, 2023
Effective Date: January 1, 2023

New York

This plan proposes a minimum wage adjustment for freestanding clinics and ambulatory surgical centers.

Approval Date: December 15, 2023
Effective Date: January 1, 2022

Florida

This plan amendment updates the Multi-Visceral Intestine Transplant reimbursement.

Approval Date: December 15, 2023
Effective Date: July 4, 2023

California

The supplemental payments are in addition to base rate payments and other supplemental payments, paid to private hospitals in California for the furnishing of Medicaid fee-for-service inpatient hospital services.

Approval Date: December 15, 2023
Effective Date: January 1, 2023

Kansas

This plan amendment moves the payment for bath and toilet aids to the durable medical equipment benefit.

Approval Date: December 15, 2023
Effective Date: January 1, 2023

Massachusetts

This plan amendment updates the methods and standards used to determine the rates of payment for supplemental payments for non-public ambulance providers.

Approval Date: December 15, 2023
Effective Date: September 29, 2023

Connecticut

This plan proposes providing outpatient supplemental payments to non-governmental independent licensed short-term general hospitals that are financially distressed.

Approval Date: December 15, 2023
Effective Date: September 1, 2023

Connecticut

This plan proposes an increase to rates under the Connecticut Home Care Program for Elders (CHCPE).

Approval Date: December 15, 2023
Effective Date: October 1, 2023

Puerto Rico

This SPA proposes to bring Puerto Rico into compliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment period (CMS-2345-FC).

Approval Date: December 15, 2023
Effective Date: January 1, 2023
Topics: Coverage and Reimbursement Covered Outpatient Drug Prescribed Drugs Specialty Drugs

Nebraska

This SPA increase the aged, blind, or disabled personal needs allowance (PNA) from $60 to $75 for individuals, and from $120 to $150 for couples.

Approval Date: December 15, 2023
Effective Date: September 1, 2023