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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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Transmittal Number: OH-19-0022
State: Ohio
Summary: Additional Qualifying Diagnosis Codes for Ohio's Specialized Recovery Services Program.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: MA-19-019
State: Massachusetts
Summary: Revises the payment methodologies for personal care attendant rates.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: TX-19-024
State: Texas
Summary: Updates physicians' and other practitioners' fee schedule.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: MO-19-0016
State: Missouri
Summary: Updates the fee schedules for MO HealthNet State Plan services due to a 1.5% increase to certain providers as appropriated by the State Legislature.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
  • Program Administration
Links:
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Transmittal Number: IA-19-0004
State: Iowa
Summary: Administrative update to address companion issues with the approval of SPA 19-0003.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: OR-19-0006
State: Oregon
Summary: Authorizes the state to take advantage of the exception in Section 1012 of the SUPPORT Act to the IMD exclusion for services to pregnant and postpartum women outside of an IMD.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OK-19-014
State: Oklahoma
Summary: Increase the enhanced payment for services provided by state university affiliated physicians from 140 percent to 175 percent of the Medicare Physician Fee Schedule.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: WA-19-0022
State: Washington
Summary: increase the Medicaid rates for Assisted Living Facilities, Adult Family Homes, Adult Day Health, Agency Providers, Independent Providers, Enhanced Service Facilities, Nursing Facilities, and Nursing Facility Swing Beds.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: AL-19-0013
State: Alabama
Summary: Terminates services offered in Alabama's Patient First program will be provided with care coordination services through the 1915(b) Alabama Coordinated Health Network.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
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Transmittal Number: NH-19-0020
State: New Hampshire
Summary: "State PDL" requires the states' three Medicaid managed care organizations (MCOs) use the preferred drug list (PDL).
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Prescription Drugs
  • Program Administration
Links:
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