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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 3421 to 3430 of 3686 results
Transmittal Number: IA-11-001
State: Iowa
Summary: To adjust the method used for determining the cost-effectiveness of health insurance plans when determining if the State will pay premiums for private insurance under the Health Insurance Premium Payment (HIPP) under Section 1906 of the Act. Previously Iowa had allowed deemed cost effectiveness under certain criteria. This SPA eliminates the deemed cost effectiveness criteria so that the cost effectiveness of each plan must be considered individually against the cost effectiveness formula. This criterion had originally been added to the State Plan with TN #96-07.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NJ-11-02
State: New Jersey
Summary: Affordable Care Act prohibition on Medicaid payments to providers outside the United States.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DE-11-001
State: Delaware
Summary: Public Assistance Reporting Information System.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AZ-11-003
State: Arizona
Summary: Requires that a State shall not provide any payments for items or services provided under the State plan or under a waiver to any financial institution or entity located outside of the United States.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-10-014
State: Indiana
Summary: The SPA seeks to move select 1915(b) populations to State Plan services under 1932(a).
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: IL-10-08
State: Illinois
Summary: Concurrent/Palliative Care for Children.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WV-10-08
State: West Virginia
Summary: Establishes programs to contract with one or more Medicaid Recovery Audit Contractors in accordance.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MN-10-026
State: Minnesota
Summary: Tribal consultation.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OK-10-38
State: Oklahoma
Summary: Revises the plan language regarding tribal consultation and removes the marketing provision of MCOs, PIHPS, PAHPS, and or PCCM programs.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NC-10-039
State: North Carolina
Summary: Addresses the requirements regarding Estate Recovery per Section 115 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) by encouraging dual eligible beneficiaries to fully utilize Medicare cost-sharing benefits available through the Medicare Savings Program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT