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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 8681 - 8690 of 15827

New York
This amendment proposes to continue supplemental payments to all New York City's Health and Hospitals for inpatient services.
Approval Date: February 20, 2017
Effective Date: April 1, 2015
Topics: Financing & Reimbursement

New York
This amendment proposes to continue supplemental payments to private hospitals for inpatient services.
Approval Date: February 20, 2017
Effective Date: April 1, 2015
Topics: Financing & Reimbursement

Illinois
This SPA implements revised inpatient payment methodologies for large public hospitals.
Approval Date: February 14, 2017
Effective Date: January 1, 2016
Topics: Financing & Reimbursement Program Administration

Idaho
This SPA provides federally qualified health centers (FQHCs) and rural health centers (RHCs) with reimbursement for long acting reversiblecontraceptives (LARCs) and non-surgical trans-cervical permanent contraceptive devices outside of the encounter rate.
Approval Date: February 14, 2017
Effective Date: July 1, 2016
Topics: Financing & Reimbursement Prescription Drugs

Oklahoma
Implement a three percent rate reduction for freestanding psychiatric hospital services.
Approval Date: February 14, 2017
Effective Date: May 1, 2016
Topics: Financing & Reimbursement

Oklahoma
Implements a 15 percent rate reduction for inpatient psychiatric hospital services for individuals under age 21.
Approval Date: February 14, 2017
Effective Date: May 1, 2016
Topics: Financing & Reimbursement

Oklahoma
Revises the methodology for supplemental payments for hospitals participating in the supplemental hospital offset payment program (SHOPP).
Approval Date: February 14, 2017
Effective Date: January 1, 2017
Topics: Financing & Reimbursement

North Dakota
Revises the pharmacy reimbursement methodology to comply with the key provisions of the Covered Outpatient Drug Final Rule ( 81 FR 5170) that was published in the Federal Register on February 1.
Approval Date: February 14, 2017
Effective Date: October 1, 2016

New Mexico
Implements a five percent rate increase for Early and Periodic Screening, Diagnosis and Treatment screenings and various rate reductions for medical practitioner reimbursement.
Approval Date: February 14, 2017
Effective Date: August 1, 2016
Topics: Financing & Reimbursement

New Mexico
This amendment eliminates the Primary Care Provider Enhanced Payments.
Approval Date: February 14, 2017
Effective Date: July 1, 2016
Topics: Financing & Reimbursement