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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 181 to 190 of 3687 results
Transmittal Number: IL-21-0023
State: Illinois
Summary: Adjustment payments for previously closed hospital facilities.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
Links:
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Transmittal Number: MO-21-0040
State: Missouri
Summary: Annual assurances of the pharmacy program adherence to the requirement of federal regulations regarding expenditures for multiple source drugs.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Federal Upper Limit
Links:
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Transmittal Number: ND-21-0024
State: North Dakota
Summary: Update the PCCM program to allow individuals to change their PCP without cause, and mandates enrollment for 19 and 20-year-old individuals who are eligible under Medicaid expansion.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
Links:
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Transmittal Number: NH-21-0053
State: New Hampshire
Summary: Clarifies the language regarding hospice services rates.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CO-21-0045
State: Colorado
Summary: Medicaid coverage of ce1tain medical transpo1tation. It attests that all the minimum requirements outlined in 1902(a)(87) of the Social Security Act are met.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ME-21-0024
State: Maine
Summary: SPA implements transportation assurances federally required by the Consolidated Appropriations Act, 2021, Division CC, Title II, Section 209.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OK-21-0043
State: Oklahoma
Summary: Provides assurances regarding the state's compliance with federal medical transportation requirements found under the Consolidated Appropriations Act, 2021.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
Links:
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Transmittal Number: WA-22-0005
State: Washington
Summary: Adds that home health services must be ordered by a physician, physician assistant (PA), or advanced registered nurse practitioner (ARNP) as part of a written plan of care.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NC-21-0027
State: North Carolina
Summary: This amendment ensures compliance with Section 209 of the Consolidated Appropriations Act of 2021. CMS supports this change because it brings the state into compliance.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: IA-21-0017
State: Iowa
Summary: Updates the limitations surrounding day treatments and pain management to expand services based on medical necessity.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT