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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 531 to 540 of 646 results
Transmittal Number: NH-11-006
State: New Hampshire
Summary: Adjusts Disproportionate Hospital Share payments.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NH-11-005
State: New Hampshire
Summary: Modifies the reimbursement methodology for inpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: NH-12-008
State: New Hampshire
Summary: Changes to outpatient services.
Approval Date:
Effective Date:
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Transmittal Number: NH-11-007
State: New Hampshire
Summary: Modifies the reimbursement methodology for outpatient hospital services.
Approval Date:
Effective Date:
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Transmittal Number: IA-12-023
State: Iowa
Summary: Establishes a new provider type for speech language pathologists in independent practice, group practice, and/or those enrolled in the Medicare program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: IA-12-019
State: Iowa
Summary: Proposes to delete a reference to therapeutically certified optometrists, clarify coverage criteria, increase the frequency of new frames for children through 7 years of age, and allow coverage of photo chromatic lenses and press on prisms effective November 1, 2012.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: NH-12-011
State: New Hampshire
Summary: Revises the Medicaid Quality Control system.
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Effective Date:
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Transmittal Number: IA-12-022
State: Iowa
Summary: Implements an AAC reimbursement methodology for all drugs, replacing the AWP, SMAC & nonprescription drug methodologies. Where AAC isnt available, WAC will be utilized. dispensing fee is set at $10.02 based on survey completion by all pharmacies.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: IA-11-014
State: Iowa
Summary: To add drug and alcohol counselors certified by the Iowa Board of Substance Abuse as a rehabilitation provider for both children and adults.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: NH-12-010
State: New Hampshire
Summary: This SPA converted the State's combined CHIP program to a full Medicaid Expansion program.
Approval Date:
Effective Date:
Topics:
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