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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 8051 - 8060 of 15820

Virginia
To add text to the State Plan regarding reimbursement practices for community mental health services and to reflect the inclusion of updated dental procedure codes in the agency's fee schedule.
Approval Date: October 17, 2017
Effective Date: October 15, 2017
Topics: Financing & Reimbursement Program Administration

Ohio
Coverage & Limitations and Payment for Services: Other Licensed Practitioners - Non-Physician Licensed Behavioral Health Practitioner Services.
Approval Date: October 17, 2017
Effective Date: July 1, 2017
Topics: Financing & Reimbursement

New Jersey
This amendment will maintain reimbursement rates at their present level for one year.
Approval Date: October 16, 2017
Effective Date: July 1, 2016
Topics: Financing & Reimbursement

Kentucky
This amendment was submitted as a technical correction to update the reimbursement methodology for Laboratory Services.
Approval Date: October 16, 2017
Effective Date: July 1, 2017
Topics: Financing & Reimbursement Program Administration

Massachusetts
To update payment rates for personal care attendant services.
Approval Date: October 16, 2017
Effective Date: July 1, 2017
Topics: Financing & Reimbursement

Maine
Adds Opioid Health Home services as authorized under Section 2703 of the Patient Protection and Affordable Care Act.
Approval Date: October 13, 2017
Effective Date: October 1, 2017
Topics: Health Homes Prescription Drugs

Georgia
This SPA proposes to bring Georgia into compliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment period (CMS-2345-FC).
Approval Date: October 13, 2017
Effective Date: April 1, 2017

Massachusetts
This SPA was submitted to revise your approved Standard ABP to update the selection of the base benchmark plan to the 2014 Government Employee Health Association , Inc. plan. This SPA also added limited services clinics to the Clinic Services section under EHB1, and added clinic services to the desc_ripti ons of several other services.
Approval Date: October 13, 2017
Effective Date: January 1, 2017
Topics: Benefits Program Administration

Massachusetts
This SPA was submitted to revise your approved Standard ABP to update the selection of the base benchmark plan to the 2014 Government Employee Health Association, Inc. plan. This SPA also added limited services clinics to the Clinic Services section under EHB1, and added clinic services to the descriptions of several other services.
Approval Date: October 13, 2017
Effective Date: January 1, 2017
Topics: Program Administration

Louisiana
This state plan amendment proposes to amend the provisions governing hospital services and to establish provisions governing Medicaid reimbursement for legislatively mandated newborn screenings in an acute inpatient hospital setting.
Approval Date: October 13, 2017
Effective Date: August 5, 2017