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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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Displaying 11451 - 11460 of 15998

Arizona
This SPA describes the methodology used by the state for determining the appropriate FMAP rates, including the increased FMAP rates, available under the provisions of the Affordable Care Act applicable for the medical assistance expenditures under the Medicaid program associated with enrollees in the new adult group adopted by the state and described in 42 CFR 435.119.
Approval Date: March 31, 2014
Effective Date: January 1, 2014
Links:
Topics: Program Administration
Share Transmittal Number AZ-13-015 via email

Connecticut
To establish coverage for home health medication administration services provided by home health agencies using electronic medication administration devices when clinically appropriate for beneficiary.
Approval Date: March 28, 2014
Effective Date: December 1, 2013
Links:
Topics: Prescription Drugs Program Administration
Share Transmittal Number CT-13-039 via email

California
Affordable Care Act Alternative Benefit Plan.
Approval Date: March 28, 2014
Effective Date: January 1, 2014
Links:
Topics: Benefits Eligibility Financing & Reimbursement Program Administration
Share Transmittal Number CA-13-035 via email

Washington
Adds service of screening, brief intervention, and referral to treatment to the state plan as a preventive service.
Approval Date: March 28, 2014
Effective Date: January 1, 2014
Links:
Topics: Program Administration
Share Transmittal Number WA-14-0008 via email

Mississippi
This amendment proposes to allow the Mississippi Div:ision of Medicaid to change the payment methodology for freestanding and hospital-baseddialysis centers from a composite rate system to a prospective payment system.
Approval Date: March 28, 2014
Effective Date: January 1, 2014
Links:
Topics: Financing & Reimbursement Program Administration
Share Transmittal Number MS-14-003 via email

Washington
Incorporates Residency Requirements into Medicaid State Plan.
Approval Date: March 28, 2014
Effective Date: January 1, 2014
Links:
Topics: Eligibility
Share Transmittal Number WA-13-0033-MM5 via email

Maryland
This SPA describes the methodology used by the state for determining the appropriate FMAP rates, including the increased FMAP rates, available under the provisions of the Affordable Care Act applicable for the medical assistance expenditures under the Medicaid program associated with enrollees in the new adult group adopted by the state and described in 42 CFR 435.119.
Approval Date: March 28, 2014
Effective Date: January 1, 2014
Links:
Topics: No topics available
Share Transmittal Number MD-13-32 via email

Illinois
Single State Agency.
Approval Date: March 28, 2014
Effective Date: October 1, 2013
Links:
Topics: Program Administration
Share Transmittal Number IL-13-0013-MM4 via email

Connecticut
To reduce the rate by 5% to Medical Equipment, Devices, and Supplies procedure codes.
Approval Date: March 27, 2014
Effective Date: August 1, 2013
Links:
Topics: Financing & Reimbursement
Share Transmittal Number CT-13-026 via email

US Virgin Islands
The USVI proposes that effective January 1, 2014 it will pay Medicaid enrolled physicians for inpatient and outpatient procedures performed in an inpatient setting for Medicaid eligible patients at 1 00% of the current Medicare rates.
Approval Date: March 27, 2014
Effective Date: January 1, 2014
Links:
Topics: Financing & Reimbursement
Share Transmittal Number VI-13-005 via email