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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 3271 to 3280 of 3800 results
Transmittal Number: MO-11-14
State: Missouri
Summary: Was in response to the companion letter issued with the approval of SPA 10-14. The companion letter had requested a number of revisions to the State Plan which were needed to bring the provision for targeted case management into compliance with current policy.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WV-12-008
State: West Virginia
Summary: Implements Process for Screening Providers and Suppliers and Creates Temporary Enrollment Moratorium for Certain Providers.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: IN-12-005
State: Indiana
Summary: Identification of hospital-acquired conditions and other provider-preventable conditions and modification of the reimbursement policy.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: IN-12-002
State: Indiana
Summary: Identification of health care-acquired conditions and other provider-preventable conditions for non-payment.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: IA-11-026
State: Iowa
Summary: The State is assuring compliance with Section 4107 of the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148, in providing tobacco cessation services for pregnant women.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: TX-11-54
State: Texas
Summary: Defines Level II evaluation provided to all individuals suspected of having mental illness or an intellectual developmental disability seeking admission to a Medicaid certified nursing facility under PASRR Program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: FL-11-015
State: Florida
Summary: This SPA proposed to update prior authorization requirements for inpatient and outpatient hospital services to reflect current policy. It also aligned Attachment 3.1-B (Medically Needy) with Attachment 3.1-A (Categorically Needy).
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CO-12-008
State: Colorado
Summary: Provider Preventable Conditions.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OH-12-009
State: Ohio
Summary: Medicaid Recovery Audit Contractor Program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: SD-13-001
State: South Dakota
Summary: Makes the required changes related to enhanced payments for certain services furnished by Primary Care Physicians (PCP).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT