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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 8841 - 8850 of 15830

Nevada
Adds the juvenile parole population as a target group eligible for Targeted Case Management services in order to facilitate needed medical, social, educational, and other services while ensuring freedom of choice of providers.
Approval Date: December 5, 2016
Effective Date: July 1, 2016

Florida
This amendment includes technical and editorial changes, deletes obsolete language, and updates the fee schedule.
Approval Date: December 5, 2016
Effective Date: October 1, 2016
Topics: Program Administration

Montana
This amendment is to add Dually Licensed Practitioner Services and reimbursement methodology to the Montana state plan.
Approval Date: December 2, 2016
Effective Date: October 1, 2016
Topics: Financing & Reimbursement Program Administration

Wyoming
Implementation of a new method of calculating Wyoming Medicaid' s financial responsibility for eligible individual's Medicare crossover co-insurance and deductibles for covered and non-covered services.
Approval Date: December 2, 2016
Effective Date: January 1, 2017
Topics: Financing & Reimbursement

Montana
This amendment (1) implements legislative funding for nursing facilities and intermediate care facilities for individuals with intellectual disabilities (2) updates references to reflect the current fiscal year (3) updates the current statewide median price; and, (4) maintains the spending level for the direct care wage component of the rate as well as at risk nursing facilities.
Approval Date: December 1, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement

Louisiana
Amends the provisions for Federally Qualified Health Centers (FQHCs) to allow certified medical assistants to apply fluoride varnish under the direction of a physician and to establish training requirements for the applier of fluoride varnish.
Approval Date: December 1, 2016
Effective Date: September 20, 2016
Topics: Dental Program Administration

Louisiana
Amends the reimbursement methodology.
Approval Date: December 1, 2016
Effective Date: September 1, 2016
Topics: Financing & Reimbursement Program Administration

Maryland
Updates Maryland's State Plan to clean-up inconsistencies between the State Plan and regulations, as well as fix broken website links caused during Maryland's website migration.
Approval Date: December 1, 2016
Effective Date: July 1, 2016
Topics: Program Administration

Indiana
This SPA transitions the Indiana's Medicaid nursing facility Medicaid reimbursement system from the RUG III model to the RUG-IV, model for which the MDS 3.0 was designed.
Approval Date: December 1, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement

California
This amendment will extend, for an additional year, augmentation payments to emergency medical air transportation providers for services rendered during State Fiscal Year 2016-17.
Approval Date: December 1, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement