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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 9091 - 9100 of 15831

Nevada
Updates the coverage and reimbursement sections of the State Plan to innclude community paramedicine services.
Approval Date: August 12, 2016
Effective Date: July 1, 2016
Topics: Benefits Financing & Reimbursement Program Administration

Michigan
Cost Sharing.
Approval Date: August 11, 2016
Effective Date: January 1, 2014

Utah
Expands coverage to lawfully residing children up to age 19.
Approval Date: August 11, 2016
Effective Date: July 1, 2016

Maryland
Makes an increment to the personal needs allowance for individuals subject to court-ordered guardianships to permit payment of a montyly fee of $50.00 to a guardian of the poerson and/or a monthly fee of $50.00 to a guardian of the property.
Approval Date: August 11, 2016
Effective Date: October 1, 2016

Idaho
Removes obsolete cost study language from the State plan and adds a state administrative code citation in place of this information.
Approval Date: August 11, 2016
Effective Date: July 1, 2016
Topics: Program Administration

Michigan
Update to the outpatient hospital Medical Access to Care Initiative (MACI) allocation.
Approval Date: August 10, 2016
Effective Date: November 1, 2015

Georgia
This SPA will increase certain occupational and physical therapy service codes to 80% of the Calendar Year 2014 Medicare fee schedule.
Approval Date: August 10, 2016
Effective Date: July 1, 2016
Topics: Financing & Reimbursement

Utah
Reimbursement for rehabilitative mental health services.
Approval Date: August 9, 2016
Effective Date: July 1, 2016

New York
Temporary rate adjustment under the Vital Access Provider (VAP) program to a specific provider for inpatient hospital services. The temporary rate adjustment recognizes additional cost of providers impacted by the closure, merger, consolidation, acquisition or restructure of a health care provider.
Approval Date: August 9, 2016
Effective Date: June 1, 2016

Ohio
Payment for services; State Fiscal Years 2016 and 2017 Rate Setting for Intermediate Care Facility for Individuals with Intellectual Disabilities Services.
Approval Date: August 9, 2016
Effective Date: July 1, 2015
Topics: Financing & Reimbursement