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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 7991 - 8000 of 15820

Utah
This State Plan Amendment clarifies coverage and limitations on Optometry Services.
Approval Date: November 3, 2017
Effective Date: July 1, 2014

New York
This SPA proposes to provide coverage of a set of services to ensure improved outcomes of women who are in the process of ovulation enhancing drugs, limited to the provision of such treatment, office visits, hysterosalpingogram services, pelvic ultrasounds, and blood testing; services shall be limited to those necessary to minor such treatment.
Approval Date: November 2, 2017
Effective Date: July 1, 2017

Colorado
This Amendment expands the list of allowable qualified practitioners who may perform behavioral health services, in order to align with practitioner standards Implemented by the Colorado Department of Human Services, Office of Behavioral Health, and to promote more timely access to these services.
Approval Date: November 2, 2017
Effective Date: June 30, 2017
Topics: Benefits Program Administration

Louisiana
This state plan amendment proposes to exempt the State from participation in the Recovery Audit Contract (RAC) program.
Approval Date: November 2, 2017
Effective Date: August 5, 2017
Topics: Program Administration

New Jersey
This amendment extends and implements revisions to the Charity Care program for the State fiscal year 2018.
Approval Date: November 2, 2017
Effective Date: July 1, 2017
Topics: Program Administration

Iowa
This SPA is to rebase home health agency low utilization payment adjustment (LUPA) rates that are budget neutral.
Approval Date: November 2, 2017
Effective Date: July 1, 2017
Topics: Financing & Reimbursement

Illinois
Increase in Reimbursement Rates for Community Mental Health Providers.
Approval Date: November 1, 2017
Effective Date: August 6, 2017
Topics: Financing & Reimbursement

Mississippi
This SPA reflects the implementation of the Mississippi Division of Medicaid's Recovery Audit Contractor (RAC) program in compliance with 42 CFR Part 455, Subpart F. This SPA was approved on November 17, 2017.
Approval Date: November 1, 2017
Effective Date: October 1, 2017
Topics: Program Administration

New York
This amendment makes revisions to the New York State Medicaid program, including changes to the coverage and reimbursement provisions for certain Medicaid services provided by health care facilities licensed by the New York State Department of Health, Office for People with Developmental Disabilities, Office of Mental Health and the Office of Alcoholism and Substance Abuse Services, and provides updates and revisions to the Ambulatory Patient Group methodology for freestanding clinic and ambulatory surgery center services.
Approval Date: November 1, 2017
Effective Date: July 1, 2017
Topics: Benefits Program Administration

New York
This SPA provides for temporary rate adjustments to Medicaid rates for the North Country Homes as an eligible Licensed Home Care Agency that has been subject to or impacted by the closure, merger, consolidation, acquisition or restructuring.
Approval Date: November 1, 2017
Effective Date: July 1, 2017
Topics: Financing & Reimbursement