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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 141 to 150 of 649 results
Transmittal Number: WA-22-0017
State: Washington
Summary: This SPA is to amend Washington’s 1915(k) Community First Choice, Home and Community Based Services (HCBS) State Plan Program.
Approval Date:
Effective Date:
Topics:
  • Long-Term Services & Support
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-22-0004
State: District of Columbia
Summary: updates the Physician Supplement Payment for Fiscal Year 2023.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DC-22-0005
State: District of Columbia
Summary: increase for Behavioral Health Rehabilitation Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-22-0018
State: Washington
Summary: Updates required implement changes to payments to hospitals meeting certain criteria for Sole Community Hospitals (SCHs).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-22-0019
State: Washington
Summary: WA-22-0019 is submitted to comply with the American Rescue Plan (ARP) requirements for states to ensure access and coverage to COVID-19 Vaccine, Treatment, and, Testing.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: WA-22-0025
State: Washington
Summary: Updates the statutory reference authorizing a hospital opting out of the inpatient “Full Cost” Payment Program if the hospital meets the criteria for the inpatient rate enhancement.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: WA-22-0021
State: Washington
Summary: This SPA specifies that audio-only telemedicine services do not receive facility fees for originating or distant sites.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: WA-22-0014
State: Washington
Summary: updates the fee schedule effective dates for several Medicaid programs and se1vices. This is a regular, budget neutral update to keep rates and billing codes in alignment with the coding and coverage changes from the Centers for Medicare and Medicaid Se1vices (CMS), the state, and other sources. These changes are routine and do not reflect significant changes to policy or payment.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WA-22-0012
State: Washington
Summary: This SPA provides Washington with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: DC-22-0001
State: District of Columbia
Summary: This SPA provides the District of Columbia with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT