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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 9481 - 9490 of 15783

New Hampshire
To mandatorily enroll into managed care those populations who could previously opt out of the program.
Approval Date: February 18, 2016
Effective Date: November 1, 2015
Topics: Managed Care Program Administration

Texas
Updates the Home Health Fee Schedule.
Approval Date: February 18, 2016
Effective Date: November 1, 2015
Topics: Financing & Reimbursement

Montana
Adds hospital presumptive eligibility to Montana Medicaid.
Approval Date: February 17, 2016
Effective Date: January 1, 2016

New York
The SPA implements the International Classification of Diseases, Revision 10 - Clinical Modification (ICD-10-CM) for hospital outpatient services.
Approval Date: February 17, 2016
Effective Date: October 1, 2015

District of Columbia
This amendment will permanently extend existing provider increases for certain primary care services provided by qualified physicians. In addition, this SPA would extend the rate increase for the same services when provided by psychiatrists, obstetricians/gynecologists, and advanced practice registered nurses.
Approval Date: February 17, 2016
Effective Date: January 1, 2016

Puerto Rico
This SPA proposes eyeglasses coverage for children up to the age 21.
Approval Date: February 16, 2016
Effective Date: January 1, 2016

New York
This State Plan Amendment implements International Classification of Diseases Version 10 (ICD-10) for freestanding clinics in accordance with Federal requirements.
Approval Date: February 16, 2016
Effective Date: October 1, 2015

Maryland
This SPA updates the State Plan to replace the Cooperative Agreement between Maryland Medicaid and the Maternal and Child Health Agency signed August 2010 with the recently signed Agreement of August 2015.
Approval Date: February 16, 2016
Effective Date: October 1, 2015
Topics: Program Administration

California
This SPA makes revisions to the reimbursement methodologies for the Short-Doyle/Medi-Cal acute inpatient services and Short-Doyle/Medi-Cal outpatient, rehabilitation, case management and other services.
Approval Date: February 16, 2016
Effective Date: January 1, 2009
Topics: Financing & Reimbursement

Kentucky
This designates Stephen P. Miller, Commissioner of the KY Department for Medicaid Services, as the Governor's designee for review and approval of state plan amendments.
Approval Date: February 12, 2016
Effective Date: February 8, 2016
Topics: Program Administration