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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.

Results

Displaying 13441 - 13450 of 15726

Michigan
This amendment requests an exception to the Medicaid RAC January 1, 2012 implementation date published in CMS' September 16, 2011 final rule. The State proposes to implement its program by March 31, 2012.
Approval Date: January 10, 2012
Effective Date: March 31, 2012

New York
Discontinue 2008 & 2009 Trend Factor-Non Institutional (FMAP = 60.19% (4/1/09-6/30/09); 61.59% (7/1/09-09/30/10)).
Approval Date: January 10, 2012
Effective Date: April 1, 2009
Topics: Program Administration

North Dakota
Telemonitoring.
Approval Date: January 9, 2012
Effective Date: July 1, 2011

Kansas
This amendment provides for Medicaid coverage of comprehensive tobacco cessation services for pregnant women, including both counseling and pharmacotherapy, without cost sharing.
Approval Date: January 9, 2012
Effective Date: October 1, 2011

Maryland
Updates the State Plan to reflect the practice of andreimbursement for HIV targeted case management.
Approval Date: January 9, 2012
Effective Date: February 1, 2012
Topics: Financing & Reimbursement Program Administration

New York
AIDS Adult Day Health Care (FMAP = 56.88% 4/1/11-6/30/11; 50% 7/1/11 forward).
Approval Date: January 9, 2012
Effective Date: April 1, 2011

Oklahoma
Reimbursement Methodology for the transitioning of the Family Planning waiver population.
Approval Date: January 9, 2012
Effective Date: October 1, 2011
Topics: Financing & Reimbursement

California
Implements a payment methodology to provide supplemental payments for dates of service between January 7, 2012 and June 30, 2012.
Approval Date: January 7, 2012
Effective Date: November 5, 2012

Indiana
Add limited exclusions to the list of excluded drugs available to dual eligible individuals.
Approval Date: January 4, 2012
Effective Date: January 1, 2013
Topics: Prescription Drugs Program Administration

Minnesota
Implements a new RBRVS physician payment methodology, re-organizes items related to physician payment rates and includes non-physician practitioners in the calculation of the supplemental payment for physician services delivered at two safety net hospitals.
Approval Date: January 3, 2012
Effective Date: January 1, 2011