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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 3411 - 3420 of 15693

Connecticut
Documented the increase in standards for Connecticut’s optional state supplement program.
Approval Date: June 28, 2022
Effective Date: January 2, 2022

Massachusetts
This amendment continues the rate year 2021 reimbursement methods and standards for acute and critical access
inpatient hospital services for one month, and effective November 1, 2021, establishes comprehensive changes for the duration of rate year 2022.
Approval Date: June 28, 2022
Effective Date: October 1, 2022

Arkansas
Authorizes the state to enter in Value-Based Purchasing (VBP) rebate agreements with drug manufacturers for drugs provided under the Medicaid program. This SPA also allows the state to join a multi-state Preferred Drug List pool.
Approval Date: June 28, 2022
Effective Date: May 1, 2022

Minnesota
This amendment addresses third party liability and related Medicaid payments regarding medical support, prenatal care and pediatric services, described in attachment 4.22-B of Minnesota’s Medicaid State Plan.
Approval Date: June 27, 2022
Effective Date: June 1, 2022

New York
provides a temporary rate increase of 11.5 percent through New York's American Rescue Plan Act of 2021 for Outpatient Mental Health (OMH) Rehabilitative Services for workforce recruitment and retention activities.
Approval Date: June 27, 2022
Effective Date: February 1, 2022

Illinois
Approved the State’s request to amend its State Plan to add a new 1915 Home and Community Based Services (HCBS) benefit. As part of the SPA, Illinois revised its 3.1-F pages, which authorizes Managed Care under 1932(a) to include the new 1915 program.
Approval Date: June 27, 2022
Effective Date: July 1, 2022

Ohio
To align Ohio’s Alternative Benefit Plan with the Medicaid State Plan by adding language for coverage of inpatient hospital treatment of chemical dependency and intensive home-based treatment, which is a component of the OhioRISE program, under the early and periodic screening, diagnosis, and treatment benefit for individuals under age 21.
Approval Date: June 27, 2022
Effective Date: March 1, 2022
Topics: Alternative Benefit Plan

Montana
This amendment establishes compliance with the mandatory coverage and reimbursement of routine patient costs furnished in connection with participation in qualifying clinical trials under Section 1905(gg) of the Social Security Act.
Approval Date: June 24, 2022
Effective Date: January 1, 2022
Topics: Coverage and Reimbursement

California
CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to increase the reimbursement rate for the Newborn Metabolic Screenings effective July 1, 2020.
Approval Date: June 24, 2022
Effective Date: July 14, 2020
Topics: Disaster Relief Reimbursement

Iowa
CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is end Nursing Facility COVID Relief Rate (NF CRR) Payments to Medicaid enrolled nursing facilities.
Approval Date: June 24, 2022
Effective Date: July 1, 2022
Topics: Disaster Relief Reimbursement