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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 441 to 450 of 529 results
Transmittal Number: OR-12-001
State: Oregon
Summary: This transmittal is being submitted to implement changes to The Outpatient payment method as outlined in S.B. 204 passed in the 2011 Oregon Legislative session.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: OR-11-011
State: Oregon
Summary: HSPA Health Homes.
Approval Date:
Effective Date:
Topics:
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Transmittal Number: OR-11-007
State: Oregon
Summary: This SPA was submitted to reflect specified provider rate reductions as required based upon Oregon's 2011-13 legislatively approved budget.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: OR-10-012
State: Oregon
Summary: Adds home and community-based services (HCBS) to the Medicaid State plan for individuals with chronic mental illness, under the authority of Section 1915(i) of the Social Security Act (the Act).
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: MD-11-12
State: Maryland
Summary: Updates the State Plan language and reduces fees paid to various practitioners by one percent.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: MD-11-21
State: Maryland
Summary: This SPA adds language that was inadvertently dropped on Maryland SPA 11-04, which expanded coverage to otherwise pregnant women and children who are aliens, under the Childrens Health Insurance Program Reauthorization Act (CHIPRA) Section 214 option.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: OR-11-015
State: Oregon
Summary: This amendment combines the responsibilities of the drug utilization review (DUR) board with the Pharmacy and Therapeutics Committee.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: OR-11-009
State: Oregon
Summary: This amendment reduces the pharmacy dispensing fee claim volumes.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
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Transmittal Number: MD-11-13
State: Maryland
Summary: Updates the State Plan to reflect the practice of andreimbursement for HIV targeted case management.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: MD-11-16
State: Maryland
Summary: This is a Pharmacy SPA: it reduces dispensing fees by five percent. In addition, this amendment adds language regarding coverage of smoking cessation products for pregnant women to the pharmacy section of the State Plan. The pharmacy section has also been reformated for improved organization and clarity.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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