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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 8671 - 8680 of 15827

Texas
This state plan amendment updates the durable medical equipment, prosthetics, orthotics, and supplies fee schedule.
Approval Date: March 6, 2017
Effective Date: October 1, 2016
Topics: Financing & Reimbursement

North Carolina
Including references to the federally recognized tribes (Eastern Band of Cherokee Indians), where appropriate, to ensure all duties, roles and responsibilities previously assigned to county divisions of social services are shared with the tribe for individuals living within the tribal boundary.
Approval Date: March 6, 2017
Effective Date: April 1, 2017

Pennsylvania
Continues disproportionate share hospital payments to hospitals with qualifying trauma centers.
Approval Date: March 3, 2017
Effective Date: December 11, 2016
Topics: Financing & Reimbursement

Illinois
Authorizes PhD Psychologists and Licensed Clinical Social Workers as Licensed Providers.
Approval Date: March 3, 2017
Effective Date: January 1, 2017
Topics: Program Administration

Ohio
Coverage & limitations, and payment: Physician Assistants' services.
Approval Date: March 3, 2017
Effective Date: January 1, 2017
Topics: Benefits Financing & Reimbursement

New Mexico
Establishes an alternate payment methodology for federally qualified health centers (FQHC) that train primarycare resident physicians.
Approval Date: March 2, 2017
Effective Date: January 1, 2016
Topics: Financing & Reimbursement Program Administration

North Carolina
Updates the organizational structure of the state's single state agency ("Medicaid agency").
Approval Date: February 23, 2017
Effective Date: January 1, 2014
Topics: Program Administration

North Carolina
Adds the Eastern Band of Cherokee Indians (EBCI) as an entity responsible for determinations of eligibility and appeals/fair hearings in accordance with the North Carolina State Law 2016-94, Section12C.2(a).
Approval Date: February 23, 2017
Effective Date: April 1, 2017
Topics: Eligibility Program Administration

Georgia
Increases the reimbursement rate for the newborn screening test to include screening newborn children for severe combined immunodeficiency.
Approval Date: February 22, 2017
Effective Date: October 1, 2016
Topics: Financing & Reimbursement

Wyoming
This amendment provides for quarterly supplemental payments to qualifying private hospitals for inpatient and outpatient hospital services.
Approval Date: February 21, 2017
Effective Date: July 1, 2016
Topics: Financing & Reimbursement