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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 7471 - 7480 of 15815

Maine
UPDATED 11/17/2020 - The approved page inadvertently contained a typographical error in describing Private Duty Nursing Level IV reimbursement at $11,570 per month—the correct reimbursement amount of $1,570 per month is included in the attached pages. The official approval date remains May 24, 2018.
Approval Date: May 24, 2018
Effective Date: July 1, 2018
Topics: Financing & Reimbursement

Wisconsin
Social Security Cost of Living Adjustment.
Approval Date: May 23, 2018
Effective Date: January 1, 2018
Topics: Financing & Reimbursement

Texas
Modifies the reimbursement methodology for non-state Intermediate Care Facilities for Individuals with Intellectual Disabilities (lCF/llDs) by requiring only even-year cost reports beginning with providers' fiscal year cost reports.
Approval Date: May 23, 2018
Effective Date: March 1, 2018
Topics: Financing & Reimbursement

New Hampshire
This amendment revises reimbursement for nursing facility services.
Approval Date: May 23, 2018
Effective Date: January 1, 2018
Topics: Financing & Reimbursement

Montana
Reimbursement update for PCMH.
Approval Date: May 22, 2018
Effective Date: January 1, 2018
Topics: Financing & Reimbursement

Montana
Reimbursement update for CPC+.
Approval Date: May 22, 2018
Effective Date: January 1, 2018
Topics: Financing & Reimbursement

Alaska
This SPA extends the elimination of inflation rate increases for multiple services into a third state fiscal year (2018), and implements targeted rate cuts for selected services.
Approval Date: May 22, 2018
Effective Date: July 1, 2017
Topics: Financing & Reimbursement

Hawaii
This SPA updates the income standard for Domiciliary Care Type I and Type II.
Approval Date: May 22, 2018
Effective Date: January 1, 2018
Topics: Benefits Financing & Reimbursement Program Administration

Arizona
This SPA establishes an Alternative Payment Methodology for Tribal 638 facilities that elect to be paid as Federally Qualified Health Centers (FQHCs).
Approval Date: May 22, 2018
Effective Date: April 1, 2018
Topics: Financing & Reimbursement

Washington
This amendment updated the reimbursement methodology for durable medical equipment (DME) in order to comply with the consolidated appropriations act of 2016 (P.L. 114-113).
Approval Date: May 21, 2018
Effective Date: January 1, 2018
Topics: Financing & Reimbursement