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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 8301 - 8310 of 15820

Utah
This State Plan Amendment implements a disregard from resources and income in regard to the UT Educational Savings Plan and eligibility determinations for certain groups.
Approval Date: July 8, 2017
Effective Date: July 1, 2017
Topics: Eligibility Financing & Reimbursement

New York
Limits the trend factor for inpatient hospital services to an amount to greater than zero for services provided on an after April 23, 2015 through March 31, 2017.
Approval Date: July 7, 2017
Effective Date: April 23, 2017
Topics: Financing & Reimbursement Program Administration

Ohio
Updates the name of the Ohio Department of Medicaid and to change the section number.
Approval Date: July 7, 2017
Effective Date: August 17, 2017
Topics: Program Administration

Louisiana
Updates the provisions governing former foster care adolescents in order to terminate the CMS-approved state option to provide Medicaid coverage to youth formerly enrolled in foster care under the responsibility of another state.
Approval Date: July 6, 2017
Effective Date: July 1, 2017
Topics: Program Administration

Montana
Reimbursement update for Eligibility Groups-Mandatory Coverage Former Foster Care Children.
Approval Date: July 6, 2017
Effective Date: July 1, 2017
Topics: Financing & Reimbursement

New Mexico
This plan amendment eliminates Medicaid eligibility to individuals formerly in other states' foster care systems who have turned age 18 or aged out of the foster care system.
Approval Date: July 6, 2017
Effective Date: April 1, 2017
Topics: Eligibility Program Administration

Washington
Adds the ground medical transportation program.
Approval Date: July 5, 2017
Effective Date: June 2, 2016
Topics: Financing & Reimbursement Program Administration

Washington
To implement a fee-for-service (FFS) Medicaid payment system for specialty mental health services provided to American Indian and Alaska Native (AI/AN) Medicaid enrollees. Currently, AI/AN enrollees must access specialty mental health services through a managed care system. SPA 17-0016 will allow mental health agencies to provide services to AI/AN enrollees on an FFS basis. AI/AN enrollees will have the choice to opt in to managed care mental health services or remain in the FFS system. Qualified mental health providers will be able to serve AI/AN enrollees and be paid through the FFS system.
Approval Date: July 5, 2017
Effective Date: July 1, 2017

Massachusetts
Updates inpatient acute hospital (in-state & out-of-state) base rates and revises the distribution methodology for High Public Payer Hospital supplemental payment to eligible hospitals. Additionally, a conditional l0% adjustment to be added to the Essential MassHealth Hospital supplemental payment.
Approval Date: July 5, 2017
Effective Date: October 1, 2016
Topics: Financing & Reimbursement

Washington
Personal Care Services.
Approval Date: July 1, 2017
Effective Date: April 6, 2017
Topics: Program Administration