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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 401 to 410 of 3763 results
Transmittal Number: MO-21-0013
State: Missouri
Summary: reinstates Missouri’s Program of All-Inclusive Care for the Elderly (PACE)
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MS-21-0041
State: Mississippi
Summary: allow the Division of Medicaid to 1) set the fees for vaccines and vaccine administration the same as those effective for State Fiscal Year 2021, 2) to include language regarding the reimbursement for administration of Vaccine For Children (VFC) vaccines, and 3) remove the five percent reimbursement reduction
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MD-21-0006
State: Maryland
Summary: adds medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
  • Medicaid Expansion
Links:
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Transmittal Number: MS-21-0012
State: Mississippi
Summary: Sets the fees for physician services
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: MS-21-0020
State: Mississippi
Summary: set the fees for targeted case management
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MO-20-0025
State: Missouri
Summary: removes or replaces obsolete processes, language, and terms; clarifies plan language; allows an extension for cost report filings for good cause shown; amends when cost reports are required for terminating providers or changes in providers; amends when payments will be withheld for late cost report submissions and terminating providers; establishes a required prior authorization process for any out-of-state nursing facility to be reimbursed for nursing facility services; and, revises the methodology for determining prospective rates.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: VA-21-0020
State: Virginia
Summary: adds a supplemental payment for freestanding children's hospitals
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: TN-21-0004
State: Tennessee
Summary: This SPA proposes to allow for limitation on amount, duration and scope of medical care and services provided for prescribed drugs through value-based and supplemental
Approval Date:
Effective Date:
Topics:
  • Prescribed Drugs
Links:
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Transmittal Number: IA-21-0006
State: Iowa
Summary: Proposes to add medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
Links:
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Transmittal Number: OK-21-0025
State: Oklahoma
Summary: This SPA was submitted to annotate that the state requires providers to bill liable third parties when services covered under the Plan are furnished to a member on whose behalf child support enforcement is being carried out
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
    SHARE THIS MEDICAID STATE PLAN AMENDMENT