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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 171 to 180 of 3690 results
Transmittal Number: MI-22-0003
State: Michigan
Summary: authority for consolidating the Disproportionate Share Hospital (DSH) process into two steps.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: IN-21-0004
State: Indiana
Summary: This plan amendment revises Medicaid reimbursement for COVID-19 vaccine administration and COVID-19 monoclonal antibody infusion administration.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
  • Program Administration
Links:
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Transmittal Number: WV-22-0004
State: West Virginia
Summary: annual update to DMEPOS in order to align with Medicare changes.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: AR-22-0002
State: Arkansas
Summary: Removes non-emergency ambulance services from the exceptions to the emergency medical transportation payments.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
Links:
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Transmittal Number: MO-22-0005
State: Missouri
Summary: This State Plan Amendment updates the Comprehensive Substance Abuse Treatment (CSTAR) program.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: FL-22-0005
State: Florida
Summary: This state plan amendment updates the description of Florida Agency for Health Care Administration (AHCA) procedures for audits of Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), specifying that audits shall be based on American Institute of Certified Public Accountants (AICPA) Attestation Standards for examining or reviewing statistical information and data.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: OK-22-0024
State: Oklahoma
Summary: This amendment to amend the State Plan to include an exemption from the recovery audit contract (RAC) requirement.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: CA-22-0020
State: California
Summary: Allows the Current Dental Terminology (CDT) dental codes to be updated from the CDT 2021 (“CDT-21”) code set to the CDT 2022 (“CDT-22”) code set for the purpose of dental service reimbursement.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Dental
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Transmittal Number: NY-20-0026
State: New York
Summary: Increases medical assistance rates of payment for diagnostic and treatment center services to New York City Health and Hospitals Corporation and county operated DTCs and mental hygiene clinics.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: ME-21-0004-A
State: Maine
Summary: Sets a new rate exception for Southern Maine Health Care, updates the supplemental payment pool for inpatient hospital services, and updates a supplemental payment pool for certain other hospital classes.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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