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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 561 to 570 of 3764 results
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
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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
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Transmittal Number: NH-20-0033
State: New Hampshire
Summary: Revises the July 2020 nursing home supplemental payment, also known as MQIP, for dates of service in the quarter ending June 30, 2020. 
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: WI-20-0016
State: Wisconsin
Summary: Disregards income increases for individuals in the medically needy groups with a spenddown
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: AZ-19-0009
State: Arizona
Summary: Updates the amounts of Arizona's graduate medical education and indirect medical education payment pools and the qualifying hospital list for each payment pool for the fiscal period ending June 30, 2020
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: SD-20-0007
State: South Dakota
Summary: implements inflationary rate increases appropriated by the state during the 2020 legislative session
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
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Transmittal Number: NY-20-0062
State: New York
Summary: proposes to make administrative revisions to the Psychiatric Residential Treatment Facility
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: OK-20-0038
State: Oklahoma
Summary: Proposes to update the standard for retrospective drug utilization reviews (DUR) in accordance with section 1004 of the Substance Use-Disorder Prevention that promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities A
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: WA-20-0031
State: Washington
Summary: update the related payment methodology based on actuarial analysis completed in June 2020
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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