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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 8731 - 8740 of 15828

Indiana
The SPA establishes a single reimbursement rate for skin substitutes.
Approval Date: January 17, 2017
Effective Date: November 1, 2016
Topics: Financing & Reimbursement

Illinois
This SPA adds language regarding minimum data set on-site reviews and language regarding payment of therapeutic bed holds for certain facilities with residents who have a TBI diagnosis.
Approval Date: January 17, 2017
Effective Date: January 1, 2016
Topics: Program Administration

North Carolina
This amendment originally proposed implementing a 1 percent rate reduction and rate freeze for subsequent years.
Approval Date: January 17, 2017
Effective Date: January 1, 2015
Topics: Financing & Reimbursement

Massachusetts
Revises Title XIX state plan to update the payment methodology for out-of-state chronic disease or rehabilitation hospital outpatient services.
Approval Date: January 17, 2017
Effective Date: January 2, 2015

Alaska
This SPA expands Medicaid reimbursement for certified community health aides, levels I-II, behavioralhealth aides, levels I-IV and practitioners.
Approval Date: January 13, 2017
Effective Date: July 1, 2017
Topics: Financing & Reimbursement

Pennsylvania
Continues a supplemental payment to acute care general hospitals in Pennsylvania to provide a substantial portion of their inpatient services to Medicaid patients.
Approval Date: January 13, 2017
Effective Date: October 30, 2016
Topics: Financing & Reimbursement

North Carolina
This SPA originally proposed implementing a 1 percent rate reduction and rate freeze for subsequent years. After intensive collaboration with CMS, the State removed the 1 percent rate reduction and revised the SPA pages to clarify that this program will be reimbursed via the North Carolina Medicaid fee schedule in effect at a given point in time.
Approval Date: January 13, 2017
Effective Date: January 1, 2015
Topics: Financing & Reimbursement

North Carolina
This SPA originally proposed implementing a 1 percent rate reduction and rate freeze for subsequent years. After intensive collaboration with CMS, the State removed the 1 percent rate reduction and revised the SPA pages to clarify that this program will be reimbursed via the North Carolina Medicaid fee schedule in effect at a given point in time.
Approval Date: January 13, 2017
Effective Date: January 1, 2015
Topics: Financing & Reimbursement

North Carolina
This SPA originally proposed implementing a 1 percent rate reduction and rate freeze for subsequent years. After intensive collaboration with CMS, the State removed the 1 percent rate reduction and revised the SPA pages to clarify that this program will be reimbursed via the North Carolina Medicaid fee schedule in effect at a given point in time.
Approval Date: January 13, 2017
Effective Date: January 1, 2015
Topics: Financing & Reimbursement

North Carolina
This amendment originally proposed implementing a 1 percent rate reduction and rate freeze for subsequent years. After intensive collaboration with CMS, the State removed the 1 percent rate reduction and revised the SPA pages to clarify that this program will be reimbursed via the North Carolina Medicaid fee schedule in effect at a given point in time.
Approval Date: January 13, 2017
Effective Date: January 1, 2015
Topics: Financing & Reimbursement