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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 8831 - 8840 of 15830

California
Decreases a private hospital supplemental payment for St. Rose Hospital from $16 million to $10 million annually.
Approval Date: December 8, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement

Louisiana
Revises the provisions governing Rural Health Clinics (RHCs) 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 7, 2016
Effective Date: September 20, 2016
Topics: Benefits Program Administration

Minnesota
Revises the state plan to add behavioral health home services to the state's Alternative Benefit Plan (ABP).
Approval Date: December 6, 2016
Effective Date: June 1, 2016

Mississippi
Reimburses for long-acting reversible contraceptives and their insertion at the time of delivery.
Approval Date: December 6, 2016
Effective Date: August 6, 2016
Topics: Financing & Reimbursement

Oregon
Removes language referring to the "live-in" program and "24-hour availability" of homecare workers and personal support workers as well as other technical revisions to align with program changes enacted to address requirements of the Federal Department of Labor regulations.
Approval Date: December 6, 2016
Effective Date: September 1, 2016
Topics: Program Administration

Washington
Updates the fee schedule rates for adult family homes, independent providers, and home care agencies, and revamps the remibursement methodology for nursing facilities.
Approval Date: December 6, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement Program Administration

California
Updates the clinic participation criteria to reflect the State law creation of hospital authorities to govern the designated public hospitals of Alameda Health System and Kern Medical Center.
Approval Date: December 6, 2016
Effective Date: July 1, 2016

California
Adds two Alameda Health System hospitals - Alameda Hospital and San Leandro Hospital - to the list of government-operated hospitals receiving supplemental reimbursement for uncompensated costs of providing physician and non-physician practitioner professional services to Medi-Cal beneficiaries.
Approval Date: December 6, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement Program Administration

California
akes technical revisions to update the hospital participation criteria for supplemental reimbursement to outpatient departments of public hospitals specified requirements under California Welfare and Institutions Code 14105.96.
Approval Date: December 6, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement Program Administration

New Jersey
Extends and implements revisions to the Charity Care program for the state FY 2017.
Approval Date: December 5, 2016
Effective Date: July 1, 2016
Topics: Program Administration