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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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Showing 13731 to 13740 of 15682 results
Transmittal Number: NY-08-45
State: New York
Summary: Proposes to Increase Medically Needy Income and Resource Standards.
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Transmittal Number: CA-11-012
State: California
Summary: Implementation of a $1,510 spending cap on optional hearing aid benefits per beneficiary, per fiscal year.
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  • Financing & Reimbursement
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Transmittal Number: IA-11-011
State: Iowa
Summary: Required due to a premium scale adjustment per 441 IAC 75.1(39). The maximum preium amount is based on avg. state employee health insurance premium, & that amount increased. Therefore, premiums for MEPD have increased.
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  • Premiums
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Transmittal Number: CA-11-016
State: California
Summary: Adopts less restrictive provisions which expand the existing methodology for treatment of income and resources for the 250 Percent Working Disabled Program.
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  • Program Administration
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Transmittal Number: MA-11-001
State: Massachusetts
Summary: Massachusetts Medicaid Income Eligibility Levels.
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  • Financing & Reimbursement
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Transmittal Number: VA-11-06
State: Virginia
Summary: Incorporating freestanding birthing centers.
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Effective Date:
Topics:
  • Benefits
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Transmittal Number: KY-08-011
State: Kentucky
Summary: This SPA implements new outpatient hospital reimbursement methodology which will, on an interim basis, be based on a facility specific outpatient cost-to-charge ratio based on the facility's most recently filed cost report.
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  • Financing & Reimbursement
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Transmittal Number: DC-11-06
State: Delaware
Summary: Prohibition on Payments to Institutions or Entitles located Outside of the United States.
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  • Financing & Reimbursement
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Transmittal Number: MP-11-002
State: Northern Mariana Islands
Summary: Proposed Section 4- General Program Administration 4.44 Medicaid Prohibition on Payments to Institutions or entities located outside of the United States.
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  • Program Administration
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Transmittal Number: AZ-11-008
State: Arizona
Summary: Clarifies the non-physician behavioral health providers listed under Other Licensed Practitioners in the State Plan.
Approval Date:
Effective Date:
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