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.

Search	Result
Data Systems	Finds results where both the term Data or the term Systems are present. There is an implicit OR between the words entered. They do not need to be next to each other, and they do not need to be in the order specified.
"Data Systems"	Finds results containing the exact phrase Data Systems where the words must be next to each other and in that order.

Advanced Search

Filter by State (select all that apply)

Filter by Topic (select all that apply)

Filter by Approval Date (mm/dd/yyyy)

Filter by Effective Date (mm/dd/yyyy)

Reset

Results

Share all search results

Displaying 8781 - 8790 of 15862

Expand/Collapse All

Results per page

Sort by

North Carolina

This amendment originally proposed implementing a 1 percent rate reduction and rate freeze for subsequent years. After intensive collaboration with CMS, the State removed the 1 percent rate reduction and revised the SPA pages to clarify that this program will be reimbursed via the North Carolina Medicaid fee schedule in effect at a given point in time.

Approval Date: January 12, 2017

Effective Date: January 1, 2015

Links:

Approval Document

Topics: Financing & Reimbursement

North Carolina

This amendment originally proposed implementing a 1 percent rate reduction and rate freeze for subsequent years. After intensive collaboration with CMS, the State removed the 1 percent rate reduction and revised the SPA pages to clarify that this program will be reimbursed via the North Carolina Medicaid fee schedule in effect at a given point in time.

Approval Date: January 12, 2017

Effective Date: January 1, 2015

Links:

Approval Document

Topics: Financing & Reimbursement

North Carolina

This amendment originally proposed implementing a 1 percent rate reduction and rate freeze for subsequent years. After intensive collaboration with CMS, the State removed the 1 percent rate reduction and revised the SPA pages to clarify that this program will be reimbursed via the North Carolina Medicaid fee schedule in effect at a given point in time.

Approval Date: January 12, 2017

Effective Date: January 1, 2015

Links:

Approval Document

Topics: Financing & Reimbursement

Idaho

This SPA requests a two-year extension (to June 30, 2018) for procurement of a Recovery Audit Contractor (RAC).

Approval Date: January 12, 2017

Effective Date: July 1, 2016

Links:

Approval Document

Topics: Program Administration

Massachusetts

This amendment provides for a technical correction to add the reimbursement methodology for out of state (OOS) chronic disease and rehabilitation (CDR) hospital services to the state plan.

Approval Date: January 12, 2017

Effective Date: January 2, 2015

Links:

Approval Document

Topics: Program Administration

Ohio

Value-Based Purchasing: Episode-Based Payments.

Approval Date: January 12, 2017

Effective Date: January 1, 2016

Links:

Approval Document

Topics: Financing & Reimbursement

Rhode Island

This SPA grants authority to add CMHO Health Home services as an in-plan benefit for the Medicaid Managed care Organizations. The SPA further revises outcome measures and imposesa payment withhold.

Approval Date: January 12, 2017

Effective Date: January 1, 2016

Links:

Approval Document

Topics: Program Administration

Connecticut

Revises the durable medical equipment fee schedule concerning repairs and modifications of customized wheelchairs.

Approval Date: January 11, 2017

Effective Date: November 1, 2016

Links:

Approval Document

Topics: Financing & Reimbursement Program Administration

Kentucky

This SPA updates the current reimbursement methodology for Community Mental Health Centers (CMHCs) and expands the services that a CMHC may provide.

Approval Date: January 11, 2017

Effective Date: November 1, 2016

Links:

Approval Document

Topics: Financing & Reimbursement

Iowa

This amendment clarifies that Graduate Medicaid Education payments are now incorporated into managed care rates. The amendment also reclassifies .a supplemental payment to the University of Iowa Hospital and Clinics into a disproportionate share hospital payment. In addition, the amendment updates the fee schedule effective date pertaining to inpatient psychiatric services for individuals under 21 years of age.

Approval Date: January 11, 2017

Effective Date: April 1, 2016

Links:

Approval Document

Topics: Financing & Reimbursement Program Administration

Medicaid State Plan Amendments

Results

Expand/Collapse All

Transmittal Number: NC-14-025

Transmittal Number: NC-14-026

Transmittal Number: NC-14-023

Transmittal Number: ID-16-0007

Transmittal Number: MA-15-003

Transmittal Number: OH-15-023

Transmittal Number: RI-16-002

Transmittal Number: CT-16-0034

Transmittal Number: KY-16-003

Transmittal Number: IA-16-021