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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 8741 - 8750 of 15828

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

Rhode Island
This SPA grants authority to implement a rate decrease and methodology change for CEDAR services. This SPA also implements revised quality metrics and oversight.
Approval Date: January 13, 2017
Effective Date: January 1, 2016
Topics: Financing & Reimbursement Program Administration

Idaho
This SPA requests a two-year extension (to June 30, 2018) for procurement of a Recovery Audit Contractor (RAC).
Approval Date: January 12, 2017
Effective Date: July 1, 2016
Topics: Program Administration

Delaware
To establish coverage and reimbursement methodologies for treatment services for Medicaid recipients up to twenty-one (21) years of age who have a diagnosis of Autism Spectrum Disorder.
Approval Date: January 12, 2017
Effective Date: October 1, 2016
Topics: Benefits 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 12, 2017
Effective Date: October 1, 2014
Topics: Financing & Reimbursement

North Carolina
This amendment originally proposed implementing a one percent rate reduction and rate freeze for subsequent years. After intensive collaboration with CMS, the State removed the one 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 12, 2017
Effective Date: January 1, 2015
Topics: Financing & Reimbursement

North Carolina
This amendment originally proposed implementing a one percent rate reduction and rate fr eze for subsequent years. After intensive collaboration with CMS, the State removed the one 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 12, 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 12, 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 12, 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 12, 2017
Effective Date: January 1, 2015
Topics: Financing & Reimbursement