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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 7191 - 7200 of 15806

Wisconsin
Outpatient Hospital Rates & Methodologies - Discontinue Nursing Allied Health Activities Add-on.
Approval Date: September 17, 2018
Effective Date: April 1, 2018
Topics: Financing & Reimbursement

California
This allows allows the California Department of Health Care Services (DHCS) to sunset the current one percent payment reduction applicable to Home Health Agency (HHA) services and to increase reimbursement rates by 50 percent for state plan HHA services and certain Pediatric Day Health Center (PDHC) services.
Approval Date: September 17, 2018
Effective Date: July 1, 2018
Topics: Financing & Reimbursement

Illinois
Addition of Adult Dental services.
Approval Date: September 17, 2018
Effective Date: July 1, 2018

Nebraska
This brings the state into compliance with Section 5002 of the 21st Century Cures Act of 2016.
Approval Date: September 14, 2018
Effective Date: July 1, 2018
Topics: Program Administration

Wisconsin
Outpatient Hospital Rates & Methodologies.
Approval Date: September 13, 2018
Effective Date: January 1, 2018
Topics: Financing & Reimbursement

Maine
Amends changes from the Covered Outpatient Drug Rule.
Approval Date: September 13, 2018
Effective Date: September 1, 2017

Colorado
This revises the Methods and standards for establishing payment rates for hospice services, reflecting rate increases effective October 1, 2018.
Approval Date: September 13, 2018
Effective Date: October 1, 2018
Topics: Financing & Reimbursement

New Hampshire
This provides coverage to all Medicaid expansion beneficiaries through the State's managed care network which currently serves the majority of the Medicaid population in the state.
Approval Date: September 13, 2018
Effective Date: January 1, 2019
Topics: Program Administration

Texas
The State is requesting an exemption to 42 CFR 455.508(b) to allow the State's recovery audit contractor (RAC) to maintain and utilize a panel of physicians with a variety of specialties, including a contracted physician with a Texas license, in lieu of hiring a minimum of 1.0 full-time equivalent Medical Director who is licensed to practice in the State.
Approval Date: September 13, 2018
Effective Date: August 15, 2018
Topics: Program Administration

Connecticut
This revises the fee schedule for laboratory services by increasing the rate of code 81528 to 70% of the current 20l6 Medicare fee, in order to remain consistent with the pricing methodology for other laboratory services.
Approval Date: September 12, 2018
Effective Date: October 1, 2016
Topics: Financing & Reimbursement