U.S. flag

An official website of the United States government

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 8751 - 8760 of 15828

Massachusetts
This amendment provides for a technical correction to add the reimbursement methodology for out of state (OOS) chronic disease and rehabilitation (CDR) hospital services to the state plan.
Approval Date: January 12, 2017
Effective Date: January 2, 2015
Topics: Program Administration

Ohio
Value-Based Purchasing: Episode-Based Payments.
Approval Date: January 12, 2017
Effective Date: January 1, 2016
Topics: Financing & Reimbursement

Rhode Island
This SPA grants authority to add CMHO Health Home services as an in-plan benefit for the Medicaid Managed care Organizations. The SPA further revises outcome measures and imposesa payment withhold.
Approval Date: January 12, 2017
Effective Date: January 1, 2016
Topics: Program Administration

Connecticut
Revises the durable medical equipment fee schedule concerning repairs and modifications of customized wheelchairs.
Approval Date: January 11, 2017
Effective Date: November 1, 2016
Topics: Financing & Reimbursement Program Administration

Kentucky
This SPA updates the current reimbursement methodology for Community Mental Health Centers (CMHCs) and expands the services that a CMHC may provide.
Approval Date: January 11, 2017
Effective Date: November 1, 2016
Topics: Financing & Reimbursement

Iowa
This amendment clarifies that Graduate Medicaid Education payments are now incorporated into managed care rates. The amendment also reclassifies .a supplemental payment to the University of Iowa Hospital and Clinics into a disproportionate share hospital payment. In addition, the amendment updates the fee schedule effective date pertaining to inpatient psychiatric services for individuals under 21 years of age.
Approval Date: January 11, 2017
Effective Date: April 1, 2016
Topics: Financing & Reimbursement Program Administration

Nevada
This SPA revises the reimbursement methodology for emergency transportation services provided by governmental entities.
Approval Date: January 11, 2017
Effective Date: October 1, 2015
Topics: Program Administration

Connecticut
This SPA adds the following services: Behavioral Modification, Personal Care services, and SBCH services included in a Section 504 plan.
Approval Date: January 10, 2017
Effective Date: July 1, 2016

Louisiana
This state plan amendment amends the provisions governing long-term care personal care services (LT-PCS) in order to terminate the Louisiana Personal Options Program (LaPOP), revise the eligibility requirements for shared LTPCS and to clarify the provisions governing the activities of daily living.
Approval Date: January 10, 2017
Effective Date: April 20, 2016
Topics: Program Administration

Connecticut
To amend the fee schedule for mental health and substance abuse clinics to reimburse those clinics for providing group counseling for tobacco cessation.
Approval Date: January 10, 2017
Effective Date: November 1, 2013
Topics: Financing & Reimbursement