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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.

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Showing 991 to 1000 of 1082 results
Transmittal Number: MD-10-13
State: Maryland
Summary: This SPA ensures compliance with the Qualifying Individual Program Supplemental Funding Act of 2008, whereby the State has an eligibility determination system that provides for data matching with medical assistance programs operated by other States in order to prevent duplicate enrollments.
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Effective Date:
Topics:
  • Eligibility
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Transmittal Number: NY-10-25
State: New York
Summary: Provides Continuation of Increased Rate of Payment for Private Duty Nursing Services.
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Transmittal Number: NY-08-40
State: New York
Summary: Provides Supplemental Payments to Clinic Providers for Costs of Electronic Health Records.
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Transmittal Number: NY-10-12
State: New York
Summary: 2010 Long Term Care-Trend Factor Elimination.
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Transmittal Number: NY-10-11
State: New York
Summary: 2010 Inpatient Hospital-Trend Factor Elimination.
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Transmittal Number: NY-09-12B
State: New York
Summary: NH Recruitment & Modify Capital Rates for Certain Proprietary Homes (FMAP = 61.59% as of effective date).
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Topics:
  • Eligibility
Links:
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Transmittal Number: NY-09-005
State: New York
Summary: 2009 Service Intensity Weights (SIWs).
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: NY-10-20A
State: New York
Summary: Indigent Care Pool/UPL Swap (FMAP = 61.59% as of effective date).
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Transmittal Number: NY-10-29
State: New York
Summary: NH Bed Rightsizing Program (FMAP = 61.59% based on effective date).
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Effective Date:
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Transmittal Number: MD-10-12
State: Maryland
Summary: This amendment modifies the methods and standards for making Medical Assistance payments to nursing facilities (NFs). Specifically, this SPA increases NF reimbursements by reducing the net reduction factor applied to select cost centers used in developing rates and implements a supplemental payment using quality indicators to formulate the payments.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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