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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 8851 - 8860 of 15830

Virginia
Updates the general language and provider qualifications including requirements that all providers be certified by Virginia's Department of Behavioral Health and Developmental Services (DBHDS) as an intellectual disability case management agency.
Approval Date: December 1, 2016
Effective Date: August 2, 2016
Topics: Program Administration

Iowa
This SPA increased the Medicaid LUPA wage index-adjusted fee rates in effect on June 30, 2106, by 2.93% effective July 1, 2016.
Approval Date: December 1, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement

South Carolina
Modifies the state's reimbursement methodology for setting payment rates for long-term care psychiatric hospitals. Specifically, this amendment increase the payment rate.
Approval Date: November 30, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement Program Administration

New York
Clarifies New York's reimbursement policy with respect to hospitals that have undergone full asset merger.
Approval Date: November 30, 2016
Effective Date: September 1, 2016
Topics: Financing & Reimbursement

New York
Amendment proposes to revise the IEP eligibility ratio formula for school-based health services for school-age children and extend the sunset date to June 30, 2017.
Approval Date: November 30, 2016
Effective Date: July 1, 2016
Topics: Benefits Eligibility Program Administration

New York
Amendment proposes to revise the IEP eligibility ratio formula for school-based health services for school-age children and extend the sunset date to June 30, 2017.
Approval Date: November 30, 2016
Effective Date: July 1, 2016
Topics: Benefits Program Administration

Louisiana
This amendment proposes to revise the provisions governing qualifying criteria for disproportionate share hospitals payments to LA low-income Academic Hospitals.
Approval Date: November 30, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement

Oregon
This SPA reflects the types of managed care risk contracts that apply to Oregon's Medicaid program.
Approval Date: November 29, 2016
Effective Date: January 1, 2017
Topics: Program Administration

Alaska
Adds freestanding birth centers as a new provider type eligible for Medicaid reimbursement.
Approval Date: November 29, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement

Oklahoma
To reinstate reimbursement for Private Duty Nursing, including those which are delivered through the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit, to the rate paid prior to the three percent reduction which was implemented on January 1, 2016.
Approval Date: November 29, 2016
Effective Date: September 1, 2016
Topics: Financing & Reimbursement