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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 8861 - 8870 of 15830

Oklahoma
To reinstate reimbursement for Emergency Medical Transportation 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

Arizona
To add podiatrist services under the other licensed practitioner benefit.
Approval Date: November 29, 2016
Effective Date: August 6, 2016

Oklahoma
Revises the criteria associated with the potentially preventable readmission reimbursement adjustment.
Approval Date: November 22, 2016
Effective Date: April 1, 2016
Topics: Financing & Reimbursement

Michigan
Updates current practitioner payment language per companion letter dated April 26, 2016 for SPA 16-0003
Approval Date: November 22, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement Program Administration

California
To increase the supplemental payment amount for Martin Luther King Jr. Los Angeles Healthcare Corporation.
Approval Date: November 22, 2016
Effective Date: July 1, 2016

Massachusetts
Updates the payment rates for personal care attendants and transitional living providers.
Approval Date: November 22, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement

District of Columbia
Modifies the State's standards and methods for setting intermediate care facility payment rates.
Approval Date: November 22, 2016
Effective Date: October 8, 2016
Topics: Financing & Reimbursement

District of Columbia
Modifies the State's methods and standards for setting nursing facility payment rates.
Approval Date: November 22, 2016
Effective Date: October 1, 2016
Topics: Financing & Reimbursement

Iowa
This amendment updates the State's Rural Hospital Disproportionate Share Payment provision.
Approval Date: November 22, 2016
Effective Date: September 1, 2016
Topics: Financing & Reimbursement

Ohio
Payment: Outpatient Hospital Services.
Approval Date: November 22, 2016
Effective Date: October 1, 2016
Topics: Financing & Reimbursement