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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 5961 - 5970 of 15778

Connecticut
Updates the Medical Equipment, Devices and Supplies (MEDS) fee schedule by updating pricing methodology to increase payment for two patient lift codes: E0639 and E0640. The SPA also reduces monthly quantities for procedure code A4259 (lancets per box of JOO) allowed without prior authorization and adds prior authorization to codes L1960 and L1970 (ankle foot orthosis).  This SPA decreases reimbursement to the following procedure codes: A6198 (alginate or other fiber gelling dressing wound cover sterile); EI028 (Wheelchair accessory manual swing away retractable); E2620 (positioning wheelchair back cushion planar back) and K0040 (adjustable angle
footplate each)
Approval Date: February 4, 2020
Effective Date: November 1, 2019
Topics: Financing & Reimbursement

Minnesota
Proposes to bring  Minnesota   into   compliance   with   the   reimbursement   requirements   in   the Covered Outpatient Drug final rule with comment period (CMS-2345-FC).
 
Approval Date: February 3, 2020
Effective Date: July 1, 2019
Topics: Financing & Reimbursement

District of Columbia
This amendment will authorize the District to implement a PACE program, effective February 1, 2020 
Approval Date: February 3, 2020
Effective Date: February 1, 2020
Topics: Current State Plan Program Administration

Arizona
Updates the fee schedule for long term acute care and rehabilitation hospital inpatient rates
Approval Date: February 3, 2020
Effective Date: October 1, 2019
Topics: Financing & Reimbursement

Texas
Updates the chemical dependency treatment facilities fee schedules 
 
Approval Date: February 3, 2020
Effective Date: November 1, 2019
Topics: Financing & Reimbursement

Illinois
Proposes a change to the long-term care regional wage adjustor.
Approval Date: February 3, 2020
Effective Date: January 1, 2020
Topics: Financing & Reimbursement

Arkansas
This SPA is to comply the Medicaid Drug Utilization Review (DUR) provisions
included in Section 1004 of the Substance Use-Disorder Prevention that promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (P.L. 115-271). State is claiming -0- fiscal impact for 2020 and 2021. 
Approval Date: February 2, 2020
Effective Date: October 1, 2019
Topics: Prescription Drugs Program Administration

Oklahoma
Establish a provider directory as per the requirements of Section 5006 of the 21st Century Cures Act
Approval Date: January 31, 2020
Effective Date: January 1, 2020

Wisconsin
Partnership Program Covered Outpatient and Prescription Drug Carve-Out
 
Approval Date: January 31, 2020
Effective Date: January 1, 2020

Illinois
Medicare-Medicaid Alignment Initiative End Date Extension
 
Approval Date: January 31, 2020
Effective Date: January 1, 2020
Topics: Current State Plan Program Administration