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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 1371 - 1380 of 15998

Texas

This amendment, the state is adding home health providers (under nursing services) to its electronic visit verification (EVV) requirement policy, in accordance with §1903(i) of the Social Security Act.

Approval Date: April 18, 2024
Effective Date: January 1, 2024
Topics: Home and community based services

New Hampshire

This plan updates rates for Targeted Case Management (TCM).

Approval Date: April 18, 2024
Effective Date: January 1, 2024

Ohio

This amendment revises the state plan to reflect that Ohio imposes property liens on account of benefits incorrectly paid.

Approval Date: April 18, 2024
Effective Date: March 1, 2024
Topics: 21st Century Cures Act Long-Term Services & Support Program Administration

South Carolina

This amendment updates language for excluded drugs covered by SCDHHS including weight loss medicine, prescription vitamins & minerals and OTC drugs.

Approval Date: April 18, 2024
Effective Date: January 1, 2024
Topics: Excluded Drug Coverage Over-the-Counter Drugs Weight Loss Drugs

Maryland

To correct the typographical errors located in boxes 7 and 8 of CMS Form 179 for the Medicaid PACE SPA MD-23-0015.

Approval Date: April 17, 2024
Effective Date: July 1, 2023

Maryland

To correct the typographical errors located in boxes 7 and 8 of CMS Fo1m 179 for Medicaid PACE SPA MD-23-0001.

Approval Date: April 17, 2024
Effective Date: January 1, 2024

Illinois

This SPA will include transportation network companies as a type of non-emergency transportation provider that may be used to provide covered transportation services.
 

Approval Date: April 16, 2024
Effective Date: November 1, 2023

Maryland

This plan amendment implements a rate increase for the Targeted Case Management (TCM).

Approval Date: April 16, 2024
Effective Date: January 1, 2024

Massachusetts

This plan amendment updates the rates for Freestanding Birthing Centers.

Approval Date: April 16, 2024
Effective Date: January 19, 2024

Minnesota

On March 01, 2024, The Centers for Medicare and Medicaid Services (CMS) received Minnesota State Plan Amendment (SPA) MN-24-0008 for Behavioral Health Homes to reflect a 3 percent change to Behavioral Health Services identified in the Medicaid State Plan amendment 24-0005. This change was authorized by Laws of Minnesota 2023, chapter 70, article 1, section 35.

Approval Date: April 16, 2024
Effective Date: January 1, 2024