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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 81 to 90 of 587 results
Transmittal Number: IA-23-0009
State: Iowa
Summary: Update the non-aggregate quality assurance assessments to the maximum aggregate non-Medicare revenues of a nursing facility.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-23-0030
State: Kansas
Summary: This SPA proposes to update the language on the state’s Prescribed Drugs Limitations list on the Pharmacy state plan coverage pages.
Approval Date:
Effective Date:
Topics:
  • Prescribed Drugs
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IA-23-0005
State: Iowa
Summary: This amendment implements a quality-of-care incentive payment program (QIPP) for participating non-state government owned or operated nursing facilities (NSGO).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-23-0029
State: Kansas
Summary: This amendment expands Peer Support Services, which allows providers outside of the Community Mental Health Center (CMHC) network to employ Peer Support providers and to be reimbursed for providing Peer Support Services.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IA-23-0018
State: Iowa
Summary: Implement individual mental health therapy provider and substance use disorder (SUD) rate increase authorized by Senate File 561.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-23-0032
State: Kansas
Summary: Per Legislative allocation, select procedure codes will be increased by 3% for physicians.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-23-0028
State: Kansas
Summary: This amendment increased reimbursement for targeted case management, and replaces the phrase “mental retardation and other developmental disabilities” with the phrase “intellectual or developmental disabilities” on the submitted pages.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-23-0022
State: Kansas
Summary: This amendment is to establish coverage of dentures and partials for adults who meet medical necessity criteria.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-21-0013
State: Kansas
Summary: This amendment expands PE to include the Parents and other Caretaker Relatives, Former Foster Care and Breast

and Cervical Cancer groups, in addition to Children and Pregnant Women, and to allow the state-designated Qualified Entities to complete PE determinations for all groups covered in PE.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-23-0027
State: Kansas
Summary: This plan amendment will set the laboratory reimbursement rates to be between 85% and 100% of Medicare.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT