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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 8761 - 8770 of 15828

Connecticut
To revise the reimbursement methodology for medical clinics, mental clinics and substance abuse.
Approval Date: January 10, 2017
Effective Date: January 1, 2012
Topics: Financing & Reimbursement

Virginia
This SPA proposes to establish a reconsideration process by which appellants can petition the Virginia Medicaid Agency's Director to reconsider the Department of Medical Assistance Services' (DMAS) Final Agency Decision. The SPA indicates that the DMAS Director's review shall be made upon the case record of the formal appeal. Testimony or documentary submissions that were not part of the formal appeal case record prior to the issuance of the Final Agency Decision shall not be considered.
Approval Date: January 10, 2017
Effective Date: December 1, 2016
Topics: Program Administration

Michigan
Updates third party liability state plan language related to payment of claims consistent with current policy.
Approval Date: January 9, 2017
Effective Date: October 1, 2016
Topics: Financing & Reimbursement

Minnesota
Technical revisions to the Behavioral Health Home section of the state plan.
Approval Date: January 9, 2017
Effective Date: July 1, 2016
Topics: Program Administration

Oregon
Removes copayments and updates the description of preventive services coverage as it was last dated in 2009.
Approval Date: January 5, 2017
Effective Date: January 1, 2017

Minnesota
Changes to the spousal impoverishment eligbility.
Approval Date: January 5, 2017
Effective Date: June 1, 2016

Ohio
Eligibility groups - mandatory coverage - parents and other caretaker relatives.
Approval Date: January 5, 2017
Effective Date: January 1, 2017

Florida
Medical School Faculty Reimbursement Methodology.
Approval Date: January 5, 2017
Effective Date: July 1, 2016
Topics: Program Administration

Minnesota
Family Planning State Option.
Approval Date: January 3, 2017
Effective Date: January 1, 2017

Connecticut
This amendment was submitted to reduce payment rates for children's dental services by two percent.
Approval Date: December 29, 2016
Effective Date: September 1, 2016
Topics: Financing & Reimbursement