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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 8821 - 8830 of 15830

Utah
Revises the alternative single streamline paper application to include both hospital and pregnant women presumptive eligibility as well as includes revisions to the paper application for multiple human services programs effective January 1, 2016.
Approval Date: December 9, 2016
Effective Date: January 1, 2016
Topics: Benefits Program Administration

Utah
This amendment elects to use the single streamline application as well as make revisions to the training materials effective January 1, 2016.
Approval Date: December 9, 2016
Effective Date: January 1, 2016
Topics: Program Administration

Rhode Island
This SPA grants authority to move Opioid treatment health home services in-network for the Medicaid Managed Care Organizations.
Approval Date: December 9, 2016
Effective Date: July 1, 2016
Topics: Prescription Drugs Program Administration

West Virginia
This SPA serves to confirm to CMS how West Virginia will be establishing its Medicaid Asset Verification system.
Approval Date: December 9, 2016
Effective Date: December 1, 2016

Louisiana
Revises the provisions governing the Professional Services program in order to allow certified medical assistants to apply fluoride varnish under the direction of a certified physician, and to establish training requirements for appliers of fluoride varnish.
Approval Date: December 8, 2016
Effective Date: September 20, 2016
Topics: Dental Program Administration

Arizona
This amendment updates the fee schedule reference for freestanding psychiatric hospital facilities and general acute hospitals that provide psychiatric services, effective October 1, 2016.
Approval Date: December 8, 2016
Effective Date: October 1, 2016
Topics: Financing & Reimbursement

Colorado
Updates the methods and standards for establishing payment rates for inpatient hospital services.
Approval Date: December 8, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement

New Jersey
This amendment proposes to increase Graduate Medical Education (GME) payments authorizedin the state's 1115 Comprehensive Waiver from $127 million to $188 million.
Approval Date: December 8, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement Program Administration

Mississippi
To update the following hospital inpatient services effective July 1, 2016: 1) Transition from V.32 to V.33 of the 3M Health Information System Hospital Inpatient APR-DRG Grouper, 2) Transition from V.32 to V.33 of the 3M Health Information System Hospital Inpatient Hospital Acquired Conditions Utility, 3) Update Appendix B "Out-of-State Hospital Transplant Services' Care Rates Effective July 1, 2016," to the most recent amounts as published by Milliman, and 4) Update Sections 2-1F. "Cost Reporting, What to Submit" and 2-1.H.5 "Provider Notification" to clarify that fee-for-service and coordinated care organization (CCO) Medicaid settlement data must be combined and reported on cost reports and that failure to provide cost report information will result in a provider's average cost-to-charge ratio for the bed class in which the hospital falls.
Approval Date: December 8, 2016
Effective Date: July 1, 2016

California
Changes Kem County Medical Center from a Short-Doyle/Medi-Cal hospital for Psychiatric services that is cost reimbursed to a Fee-For-Service Medi-Cal hospital, effective December 6th, 2016.
Approval Date: December 8, 2016
Effective Date: July 1, 2016
Topics: Benefits Program Administration