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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 8031 - 8040 of 15820

Idaho
This SPA eliminates tiered benefits in the Dental Wellness Plan.
Approval Date: October 23, 2017
Effective Date: July 1, 2017
Topics: Dental Program Administration

District of Columbia
This amendment proposes to extend provider eligibility for a one time incentive payment to support the development of care plans for Health Home beneficiaries, beginning July 1, 2017 and ending October 31, 2017.
Approval Date: October 23, 2017
Effective Date: July 1, 2017
Topics: Financing & Reimbursement

Illinois
Increase in Personal Needs Allowance for Individuals with Intellectual Disabilities Residing in ICF-DDs and Community Integrated Living Arrangements.
Approval Date: October 23, 2017
Effective Date: July 1, 2017

Kentucky
This amendment adds contingency fee language and updates other provisions of the existing Medicaid Recovery Audit (RAC) Contractor program.
Approval Date: October 23, 2017
Effective Date: July 1, 2017
Topics: Financing & Reimbursement Program Administration

Arizona
This amendment moves Arizona's disproportionate share hospital payment methodology from the Section I115 Demonstration to the state plan, effective October 1, 2017.
Approval Date: October 23, 2017
Effective Date: October 1, 2017
Topics: Financing & Reimbursement Program Administration

Hawaii
This SPA increases the number of days for a reserved bed in nursing facilities.
Approval Date: October 23, 2017
Effective Date: October 1, 2014
Topics: Program Administration

California
This SPA will add the face-to-face encounter requirement prior to the initiation of services by a home health agency and remove all references to "licensed practitioner" ordering home health services, including medical supplies, equipment, and appliances, and instead require a physician to order these items for beneficiaries.
Approval Date: October 23, 2017
Effective Date: July 1, 2017
Topics: Program Administration

Ohio
Managed Care: Enrollment Update.
Approval Date: October 23, 2017
Effective Date: January 1, 2018
Topics: Program Administration

Maine
The purpose of this SPA is to delay implementation of a Recovery Audit Contractor program through June 1, 2019.
Approval Date: October 20, 2017
Effective Date: May 31, 2017
Topics: Financing & Reimbursement Program Administration

Washington
This amendment adjusts the personal needs allowance (PNA) annually to reflect cost-of-living adjustments (COLAs) to federal Social Security benefits, enabling individuals receiving long-term care to have their PNA increased by the percentage of any COLA to Social Security benefits.
Approval Date: October 20, 2017
Effective Date: January 1, 2018
Topics: Financing & Reimbursement