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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 641 to 650 of 3688 results
Transmittal Number: OH-20-0008
State: Ohio
Summary: Updates provisions related to cost reporting for nursing facilities, and to make other changes for clarity and concision
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
Links:
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Transmittal Number: CA-20-0015
State: California
Summary: Current Dental Terminology (CDT) dental code set update for procedures also receiving supplemental payments from proposition 56 funding.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
  • Dental
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Transmittal Number: NH-20-0001
State: New Hampshire
Summary: Increases the optional state supplemental income standards in accordance with § 1618 and 1902(a)(10)(A)(ii)(XI) of the Social Security Act
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
Links:
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Transmittal Number: VA-20-0003
State: Virginia
Summary: Recovery Audit Contractor - Exemption
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NY-20-0019
State: New York
Summary: Proposes to include a 2% salary increase for certain staff of private psychiatric hospitals. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: ND-20-0008
State: North Dakota
Summary: Clarifies the enrollment of licensed registered dietitians to provide medical nutrition therapy.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: IA-20-0004
State: Iowa
Summary: Removes the exemption from third party liability for prenatal services in order to comply with the amended section 1902(a)(25)(E) of the Act and the CMCS Informational Bulletin issued on June 1, 2018
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: NY-20-0011
State: New York
Summary: Updates and extends the Ambulatory Patient Group (APG) methodology for hospital based clinics and ambulatory surgery services for the effective period January 1, 2020 thru December 31, 2020 and revise the APG methodology to reflect the recalculated weights with component updates
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
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Transmittal Number: CT-20-0008
State: Connecticut
Summary: This plan amendment incorporates the 2020 Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes) to the Independent Therapy fee schedule. Codes that

are being added are being priced using a comparable methodology to other codes in the same or similar category. These changes are being made to ensure this fee schedule remains compliant with the Health

Insurance Portability and Accountability Act (HIPAA).
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: CT-20-0007
State: Connecticut
Summary: Incorporates various 2020 Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes). Codes that are being added are being priced using a comparable methodology to other codes in the same or similar category and replacement codes are being priced in a manner designed to make the billing code updates cost-neutral.  
Approval Date:
Effective Date:
Topics:
  • Adjustment Codes
  • Program Administration
Links:
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