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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 13031 - 13040 of 15693

Texas
The plan amendment updates the fee schedule for durable medical equipment, prosthetics, orthotics, and medical supplies. The plan amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Approval Date: June 7, 2012
Effective Date: March 1, 2012
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Texas
This plan amendment implements section 4107 of Affordable Care Act to add tobacco cessation services for pregnant women to the Texas state plan. The amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Approval Date: June 7, 2012
Effective Date: January 1, 2012
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Topics: No topics available
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Washington
This amendment increases the rate paid to Adult family and licensed boarding homes contracted to provide assisted living and enhanced adult residential care and services. This increase was necessitated by the passage of initiative 1163, which increased training, certification and background check requirements for providers.
Approval Date: June 7, 2012
Effective Date: May 1, 2012
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Rhode Island
This SPA increases the payment standards for the optional State supplementary payment program.
Approval Date: June 7, 2012
Effective Date: January 1, 2012
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Topics: No topics available
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Pennsylvania
Medicaid/CHIP Provider Screening and Enrollment.
Approval Date: June 7, 2012
Effective Date: March 25, 2012
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Topics: Benefits Eligibility Program Administration
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Pennsylvania
Spousal Impoverishment Provisions.
Approval Date: June 7, 2012
Effective Date: January 1, 2012
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Topics: Program Administration
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Oklahoma
Removes Sunset Language and Continues Limitation of Brand Name Prescriptions to Two Per Month.
Approval Date: June 7, 2012
Effective Date: January 1, 2012
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Topics: No topics available
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West Virginia
This SPA allows the State to have an exception to the January 1, 2012 implementation date for their establishment of programs to contract with one or more Medicaid Recovery Audit Contractors (RACs) in accordance with Section 6411 of the Affordable Care Act. The Medicaid RAC will identify overpayments and underpayments and recoup overpayments under the State Plan and under any waiver of the State Plan. No later than September 30, 2012, the State Medicaid agency will have a RAC contract in place that will adhere to the attestations in the SPA.
Approval Date: June 6, 2012
Effective Date: April 1, 2012
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Topics: Financing & Reimbursement
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Louisiana
The plan amendment establishes supplemental payments for emergency medical transportation services rendered by land and air ambulance providers. The amendment change does not have a direct impact on Indians, Indian Health Programs, or Urban Indian organizations.
Approval Date: June 4, 2012
Effective Date: September 21, 2012
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Topics: Financing & Reimbursement
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North Dakota
Amends the State Plan to Implement the Resource Utilization Group (RUG) IV classification system, Identify the increase for nursing facility services, change the allowable education expense limit, identify salaries accrued at a facility's year end, but not paid within 75 days of The cost report yearend as an unallowable cost, and additional changes to provide for further detail on reporting requirement.
Approval Date: June 4, 2012
Effective Date: January 1, 2012
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Topics: Program Administration
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