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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 5001 - 5010 of 15820

District of Columbia
Effective 01/04/2021 this amendment provides an inflation increase to 1915(i) payment rates
Approval Date: March 17, 2021
Effective Date: January 4, 2021
Topics: Financing & Reimbursement

New York
Effective 04/01/2021, this amendment establishes weekly Opioid Treatment Program (OTP) bundled fees as a payment alternative to the OTP Ambulatory Patient Group methodology.
Approval Date: March 17, 2021
Effective Date: April 1, 2021
Topics: Financing & Reimbursement

Maine
Effective 10/01/2020, this amendment extends the timeline for uniform desk review completion from one hundred eighty days to one calendar year. 
Approval Date: March 17, 2021
Effective Date: October 1, 2020
Topics: Financing & Reimbursement

Washington
Effective 10/01/2020, this amendment updates the information regarding telehealth/telemedicine services in the Medicaid State Plan.
Approval Date: March 17, 2021
Effective Date: October 1, 2020
Topics: Benefits Program Administration

Connecticut
Effective 10/01/2020 this amendment updates the Person-Centered Medical Home program with the physicians' services benefit category..
Approval Date: March 17, 2021
Effective Date: October 1, 2020
Topics: Benefits Financing & Reimbursement Program Administration

South Dakota
Effective 11/01/2019 this amendment clarifies that substance use disorder (SUD) early intervention services provided by a SUD agency are covered and SUD treatment services may be provided in an institution for mental disease (IMD).
Approval Date: March 17, 2021
Effective Date: November 1, 2019

Pennsylvania
Effective December 27, 2020, this amendment continues an additional class of disproportionate share hospital payment to facilities meeting certain low-Income utilization rate (LIUR) and net patient revenue criteria while operating in a medically underserved area.
Approval Date: March 17, 2021
Effective Date: December 27, 2020
Topics: Financing & Reimbursement Program Administration

Connecticut
This plan amendment updates the home health services fee schedule.
Approval Date: March 17, 2021
Effective Date: November 1, 2020
Topics: Financing & Reimbursement

Louisiana
This update amends the provisions governing leave of absence days during a federal public health emergency declared by the Secretary of Health and Human Services. 
Approval Date: March 16, 2021
Effective Date: March 11, 2020

Louisiana
Effective 02/01/2021, this update amends the provisions governing adult mental health services in order to add peer support services as a covered rehabilitative service.
Approval Date: March 16, 2021
Effective Date: February 1, 2021
Topics: Benefits Program Administration