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 8811 - 8820 of 15830

Nevada
The SPA revises the reimbursement rate for home health care services.
Approval Date: December 13, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement

Nevada
The SPA allows providers to be reimbursed for up to three separate encounters per patient per day instead of requiring the patient to come on three different days to obtain all the necessary services (i.e. medical, behavioral health, and dental services).
Approval Date: December 13, 2016
Effective Date: February 6, 2016
Topics: Financing & Reimbursement

California
To remove the following counties from the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals with a Communicable Disease" TCM group: Butte, El Dorado, Fresno, Marin, Merced, Monterey, Napa, Placer, San Francisco, San Luis Obispo, San Mateo, Santa Barbara, Santa Cruz, Tulare, Tuolumne, and Yolo.
Approval Date: December 13, 2016
Effective Date: July 1, 2016
Topics: Program Administration

California
To remove the following counties from the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals in Jeopardyof Negative Health or Psycho-Social Outcomes" TCM group: Fresno, Merced, San Francisco, Santa Barbara, Tulare and Yolo.
Approval Date: December 13, 2016
Effective Date: July 1, 2016
Topics: Program Administration

California
To remove the following counties from the list of geographic areas offering Targeted Case Management (TCM) services for the Individuals at risk of Institutionalization TCM group Fresno, Merced, San Francisco, San Mateo, Santa Barbara, Tulare and Yolo.
Approval Date: December 13, 2016
Effective Date: July 1, 2016
Topics: Program Administration

California
To remove the following counties from the list of geographic areas offering Targeted Case Management (TCM) services for the Medically Fragile Individuals TCM group Butte, Fresno, Marin, Merced, San Francisco, San Joaquin, Santa Barbara, Tulare and Yolo.
Approval Date: December 13, 2016
Effective Date: July 1, 2016
Topics: Program Administration

California
To remove the following counties from the list of geographic areas offering Targeted Case Management (TCM) services for the Children Under The Age of 21 TCM group Butte, El Dorado, Fresno, Marin, Merced, San Francisco,Santa Barbara, Shasta, Trinity, Tulare and Yolo.
Approval Date: December 13, 2016
Effective Date: July 1, 2016

California
SPA restores acupuncture services as a covered benefit under Medi-Cal to all eligible Medi-Cal beneficiaries and makes some unrelated coverage technical corrections.
Approval Date: December 12, 2016
Effective Date: July 1, 2016

California
This amendment places the Comprehensive Perinatal Service Program (CPSP) providers under the clinic benefit as part of the reimbursement for Indian Health Service (IHS) and Tribal 638 facilities and makes related clarifications.
Approval Date: December 12, 2016
Effective Date: January 1, 2016
Topics: Benefits Financing & Reimbursement Program Administration

Utah
This amendment elects for the State to use Utah' s single streamlined application form for both Medicaid and Presumptive Eligibility (PE) effective January 1, 2016.
Approval Date: December 9, 2016
Effective Date: January 1, 2016
Topics: Program Administration