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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 491 - 500 of 15689

South Carolina

This amendment proposes to eliminate cost sharing for all Medicaid recipients and services.

Approval Date: November 8, 2024
Effective Date: July 1, 2024

Oklahoma

This plan amendment increases the base rate for standard nursing facilities, nursing facilities serving patients with Acquired Immune Deficiency Syndrome (AIDS), and standard private and specialized private intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs).

Approval Date: November 7, 2024
Effective Date: July 1, 2024

Utah

This SPA removes specifics for identifying claims for covered outpatient drugs purchased through the 340B Program, as industry standards may periodically change.

Approval Date: November 7, 2024
Effective Date: September 1, 2024
Topics: 340B Program Covered Outpatient Drug

California

This plan amendment renews and modifies the reimbursement rate methodology for Freestanding Skilled Nursing/Subacute Facilities Level-B, by authorizing aggregate increases to the weighted average Medi-Cal reimbursement rate components for labor and non-labor costs and authorizing a new Workforce Standards Program rate augmentation.

Approval Date: November 7, 2024
Effective Date: January 1, 2024

California

This plan amendment updates the list of government-operated hospitals subject to specified reimbursement methodologies for inpatient hospital services.

Approval Date: November 7, 2024
Effective Date: April 1, 2024

Utah

This amendment is a state plan coverage for supportive living services.

Approval Date: November 7, 2024
Effective Date: July 1, 2024
Topics: Coverage and Reimbursement

Wisconsin

This Amendment adds a new §1915 home and community-based services (HCBS) benefit.

Approval Date: November 7, 2024
Effective Date: January 1, 2025
Topics: Coverage and Reimbursement Home and community based services

Arkansas

This amendment is to include Autism Services for Children on Medicaid under the preventative benefit adding applied behavioral analysis (ABA) services for children.

Approval Date: November 7, 2024
Effective Date: January 1, 2025
Topics: Coverage and Reimbursement

South Carolina

This amendment proposes to establish rates for four additional autism spectrum disorder (ASD) services, and to clarify the service definition for family adaptive behavior treatment guidance.

Approval Date: November 6, 2024
Effective Date: July 1, 2024
Topics: Coverage and Reimbursement

Massachusetts

This plan amendment updates Clinical Laboratory rates.

Approval Date: November 6, 2024
Effective Date: September 1, 2024