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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.

Search the Text of Medicaid State Plan Amendments
Showing 1 to 10 of 5566 results
Transmittal Number: ND-23-0012
State: North Dakota
Summary:

This amendment amends the State Plan to increase the personal needs allowance.

Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: IL-22-0036
State: Illinois
Summary: Updates the rates for Non-Emergency Transportation Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: PA-22-0023
State: Pennsylvania
Summary: Continues use of the budget adjustment factor (BAF) for nonpublic nursing facility payment rates for the 2022-2023 through 2025-2026 rate years.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PA-22-0024
State: Pennsylvania
Summary: Continued use of the budget adjustment factor (BAF) for county nursing facility payment rates for the 2022-2023 through 2025-2026 rate years.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: IA-22-0010
State: Iowa
Summary: Implements an increase for behavioral health intervention services (BHIS).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CO-22-0034
State: Colorado
Summary: Updates the supplemental payment pool amounts for the Rural Family Medicine Residency Development Payment, Family Medicine Residency Program Payment, State University Teaching Hospital Payment, Pediatric Major Teaching Payment and the Urban Safety Net Provider Payment.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: IA-22-0016
State: Iowa
Summary: implements an increase for HCBS Habilitation rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NY-22-0008
State: New York
Summary: amend long term care services to comply with the quality incentive program for the non-specialty nursing homes to continue to recognize improvements in performance.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MN-22-0031
State: Minnesota
Summary: Updates payment rates for Home Health Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: ND-22-0023
State: North Dakota
Summary: Provides for an inflationary rate increase of .25 percent for intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT