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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 8881 - 8890 of 15830

Louisiana
Revises the provisions governing qualitfying certiera for disproportionate share hospitals payment to major medical centers in central and northern.
Approval Date: November 16, 2016
Effective Date: June 30, 2016
Topics: Financing & Reimbursement

Minnesota
Revises the rates for personal care services.
Approval Date: November 15, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement

Arizona
This SPA updates the State Plan section on outpatient hospital rates.
Approval Date: November 15, 2016
Effective Date: October 1, 2015
Topics: Financing & Reimbursement

Maine
To change the benefit limits for Occupational Therapy Services.
Approval Date: November 15, 2016
Effective Date: January 1, 2016

Arizona
This SPA adds a reimbursement methodology for hospital-based freestanding emergency departments.
Approval Date: November 15, 2016
Effective Date: January 1, 2017
Topics: Financing & Reimbursement Program Administration

South Carolina
This plan complies with economy and efficiency as required by section 1902(a)(30) of the Social Security Act to an acceptable reimbursement methodology with regards to the Supplemental Teaching Physician Payment Program.
Approval Date: November 14, 2016
Effective Date: April 1, 2016
Topics: Financing & Reimbursement

Nebraska
IHS Encounter Payment.
Approval Date: November 9, 2016
Effective Date: January 1, 2017
Topics: Financing & Reimbursement

Michigan
Updates the ASC reduction factor to maintain budget neutrality in response to a Medicare rate change and clarifies OPPS language per companion letter dated June 22, 2015 for SPA 14-0016.
Approval Date: November 9, 2016
Effective Date: January 1, 2016
Topics: Financing & Reimbursement Program Administration

Minnesota
Revising the state plan to cover services provided by a community emergency medical technician.
Approval Date: November 9, 2016
Effective Date: January 1, 2017
Topics: Benefits Program Administration

New Hampshire
Home Health Portability and Face to Face Requirements.
Approval Date: November 8, 2016
Effective Date: July 1, 2016
Topics: Program Administration