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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 1041 - 1050 of 15696

Wisconsin

This Amendment memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Wisconsin's state plan.

Approval Date: May 3, 2024
Effective Date: January 1, 2024
Topics: Eligibility Medicaid and CHIP Program (MACPro)

Massachusetts

This amendment proposed to eliminate the resource test for the following eligibility groups: Qualified Medicare Beneficiaries; Specified Low-Income Medicare Beneficiaries; and Qualifying Individuals.

Approval Date: May 3, 2024
Effective Date: March 1, 2024
Topics: Coverage Eligibility Medicaid and CHIP Program (MACPro)

Vermont

This amendment proposed to document the new income standards for its optional state supplement program, beneficiaries of which are eligible for Medicaid under Vermont's State Plan.

Approval Date: May 3, 2024
Effective Date: January 1, 2024
Topics: Coverage Eligibility Medicaid and CHIP Program (MACPro)

Vermont

This amendment proposes to increase the Personal Needs Allowance for Vermont Medicaid.

Approval Date: May 3, 2024
Effective Date: January 1, 2024
Topics: Long-Term Services & Support

Minnesota

This plan amendment updates the Medicaid payment rates for inpatient hospital services to include a payment adjustment for hospitals providing graduate medical education.

Approval Date: May 2, 2024
Effective Date: January 1, 2024

Oregon

This plan amendment implements supplemental payments to nursing homes participating in the Oregon CareWorks program.

Approval Date: May 2, 2024
Effective Date: January 1, 2024

Oklahoma

This plan amendment revokes the Potentially Preventable Readmissions policy.

Approval Date: May 2, 2024
Effective Date: January 1, 2024

Pennsylvania

Adds licensed professional counselors and licensed marriage and family therapists to the core services proved by Federally Qualified Health Centers and Rural Health Clinics. The amendment also added pharmacists and licensed dietician-nutritionists to the list of other ambulatory services offered by Federally Qualified Health Centers and Rural Health Clinics.

Approval Date: May 2, 2024
Effective Date: March 1, 2024

District of Columbia

The District is seeking to sustain requests approved in their Temporary Extension to the Medicaid Disaster Relief COVID-19 National Emergency SPA #23-0004, which expires on May 11, 2024, by adding its language to the permanent Housing Supportive Services (HSS) 1915(i) Home and Community-Based Services SPA. If approved, this SPA will permit the HSS program to continue to utilize the appropriate determination and redetermination tools to ensure that District residents secure and maintain permanent supportive housing and to allow expanded provider qualifications for case manager supervisors.

Approval Date: May 2, 2024
Effective Date: May 12, 2024
Topics: Home and community based services

Northern Mariana Islands

This amendment is to provide 12 months continuous eligibility for children under the age of 19 in Medicaid, including children eligible with a Medically Needy spenddown.

Approval Date: May 1, 2024
Effective Date: January 1, 2024