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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 15241 to 15250 of 15670 results
Transmittal Number: VI-09-02B
State: Virgin Islands
Summary: Clarifies the language related to skilled nursing facilities.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: HI-08-014
State: Hawaii
Summary: This amendment adds marriage and family therapists and licensed mental health counselors as Medicaid providers.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: OK-09-11 C
State: Oklahoma
Summary: Changes in Nursing Facility and ICF /MR Payment Methodology.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NC-09-017
State: North Carolina
Summary: Adjusts State Fiscal Year (SFY) 2010 rates for Rehabilitation Services based on an overall program reduction of 4.68 percent for SFY 2010. SFY 2011 rates are to be frozen at the SFY 2010 amount.
Approval Date:
Effective Date:
Topics:
  • Premiums
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Transmittal Number: FL-09-025
State: Florida
Summary: The State requests approval of this amendment to provide for administration of the H1N1 influenza vaccine by licensed practitioners to adults, age twenty-one and over.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: IN-08-007
State: Indiana
Summary: Presumptive eligibility for pregnant women.
Approval Date:
Effective Date:
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Transmittal Number: TX-09-041
State: Texas
Summary: Updates the fee schedules for physician services in the Texas Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: VT-09-011
State: Vermont
Summary: The SPA transmitted a proposed amendment to your approved Title XIX State plan to reinstate chiropractors' services.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: CT-09-013
State: Connecticut
Summary: This proposed plan transmitted an amendment to the approved Title XIX State plan making administrative changes to correct the renumbering of plan pages as well as to restore home health and private duty nursing reimbursement language which were inadvertently omitted under SPA 07-013.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: VA-09-09
State: Virginia
Summary: Legal Immigrant Children.
Approval Date:
Effective Date:
Topics:
Links:
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