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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 311 to 320 of 3687 results
Transmittal Number: NY-21-0037
State: New York
Summary: continues to provide supplemental payments to certain non-state government nursing facilities.
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Transmittal Number: WA-21-0024
State: Washington
Summary: Updated the fee schedule effective dates for several Medicaid programs and services.
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Transmittal Number: NE-21-0014
State: Nebraska
Summary: The state submitted an ABP that fully aligns with the Medicaid state plan (which was the same as the previous prime plan) and includes all expansion populations.
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Transmittal Number: AK-21-0005
State: Alaska
Summary: add licensed professional counselors to the Alaska Medicaid State Plan
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Transmittal Number: MT-20-0014
State: Montana
Summary: Revises the description of the non-federal share for Comprehensive School and Community Treatment (CSCT) and updating the EPSDT fee schedule to reflect a 1.83% provider increase.
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Transmittal Number: CA-20-0021
State: California
Summary: updates to the Skilled Nursing Facility Quality and Accountability Supplement Payment (QASP) for the rate periods from August 1, 2020 to December 31, 2021
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Transmittal Number: MA-21-0017
State: Massachusetts
Summary: Updates the definition of undue hardship for estate recovery; updates the state's determination of cost effectiveness for estate recovery; clarify the process for exempting certain assets from estate recovery for American Indians and Alaska Natives; and updates the limitations to estate recovery for any premiums paid on behalf of the member.
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Transmittal Number: ND-21-0014
State: North Dakota
Summary: This SPA updates the language regarding state law on advance directives.
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Transmittal Number: WY-21-0010
State: Wyoming
Summary: Wyoming will be removing the 40 Quarters requirement for Medicaid eligibility.
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Topics:
  • Eligibility
  • Program Administration
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Transmittal Number: WI-21-0014
State: Wisconsin
Summary: Medicaid Recovery Audit Contractor Program
Approval Date:
Effective Date:
Topics:
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