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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 481 to 490 of 3688 results
Transmittal Number: PR-20-0014
State: Puerto Rico
Summary: Modifies the income disregard categorically needy and medically needy groups covered 
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CT-20-0009
State: Connecticut
Summary: Implements various program changes in Wave 3 of the PCMH+ program. This SPA also sets forth the total amount available for care coordination add-on payments to Federally Qualified Health Centers (FQHCs) participants for 2020 and 2021.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NJ-20-0014
State: New Jersey
Summary: This amendment is being submitted in order to increase the hourly weekday and weekend fee for service rate for personal care services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: IA-20-0010
State: Iowa
Summary: Adds greater clarification around operationalization of the HH programs, including new provider roles intended to increase overall quality improvement. In addition, the SPA broadened the scope of qualifying conditions to include chronic pain and chronic obstructive pulmonary disease, and made updates the reimbursement rates for the payment tiers assigned to the Chronic Condition HH program.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: OK-21-0002
State: Oklahoma
Summary: adds an Alternative Benefit Plan (ABP) to Oklahoma’s State Plan to cover the Medicaid Expansion Population
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: OH-20-0020
State: Ohio
Summary: Value-Based Purchasing: Suspending Episode-Based Payments Program for program years 2020 and 2021
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MI-20-1001
State: Michigan
Summary: establishes Alternative Benefit Plan(ABP) MI uses to implement requirements of the Healthy Michigan Plan(HMP)
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: MI-20-0008
State: Michigan
Summary: Implements new federal regulations to permit non-physician practitioners (e.g., nurse practitioners, physician assistants, and clinical nurse specialist) to order home health services and durable medical equipment.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: VA-20-0013
State: Virginia
Summary: This amendment establishes an additional disporportionate share hospital payment to non-state government owned acute care hospitals and applies nursing facility inflation rates to specialized care facilities. 
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: SD-20-0009
State: South Dakota
Summary: Removes the face-to-face requirement for community mental health center providers.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT