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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 441 to 450 of 3688 results
Transmittal Number: MS-20-0028
State: Mississippi
Summary: allows the Division of Medicaid (DOM) to address the pricing of new Code on Dental Procedures and Nomenclature (CDT) codes.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: MD-20-0011
State: Maryland
Summary: Updates language including certification requirement and establishing a geographic differential rate targeted case management (TCM) services
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Topics:
  • Program Administration
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Transmittal Number: NM-20-0020
State: New Mexico
Summary: Increases rates for Air Ambulance
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: FL-20-0011
State: Florida
Summary: Statewide inpatient psychiatric program reimbursement
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Topics:
  • Benefits
  • Program Administration
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Transmittal Number: PA-20-0020
State: Pennsylvania
Summary: This amendment provides additional class of disproportionate share hospital payment to qualifying facilities that promote access to comprehensive inpatient services.
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Topics:
  • Program Administration
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Transmittal Number: MD-20-0008
State: Maryland
Summary: updates state plan to increase the reimbursement rate for Target Case Management providers by four percent based on a legislative approved Cost of Living adjustment.
Approval Date:
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Topics:
  • Program Administration
  • Reimbursement
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Transmittal Number: NM-20-0016
State: New Mexico
Summary: Effective January 01, 2021, this amendment eliminates the resource standards for the following Medicare Savings Plan categories: Qualified Medicare Beneficiaries, Specified Low-income Medicare Beneficiaries; and Qualified Individuals. 
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Topics:
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Transmittal Number: IA-20-0019
State: Iowa
Summary: This amendment applies to the 1915(i) HCBS Day Habilitation service. Revises provider qualifications and scope of service to assure that services are delivered by qualified providers and provide a pathway to employment for participants.
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Topics:
  • Program Administration
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Transmittal Number: WA-20-0020
State: Washington
Summary: PACE update
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: IN-20-0019
State: Indiana
Summary: Optometric services delivered via Telemedicine
Approval Date:
Effective Date:
Topics:
  • Delivery System
  • Program Administration
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