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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 1201 to 1210 of 1307 results
Transmittal Number: CT-10-021
State: Connecticut
Summary: This SPA transmitted a proposed revision to Connecticut's approved Title XIX State Plan in order to describe its process for consultation with Connecticut's federally-recognized Indian Tribes.
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Transmittal Number: CT-10-025
State: Connecticut
Summary: This SPA transmitted a proposed revision to Connecticut's approved Title XIX State Plan in order to establish a program to contract with a Recovery Audit Contractor as required by Section 6411 of the Patient Protection and Affordable Care Act (Pub. L. 111-148, enacted on March 23, 2010).
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Transmittal Number: NY-09-29 F
State: New York
Summary: Financially Disadvantaged Nursing Home Programs.
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  • Financing & Reimbursement
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Transmittal Number: NY-07-12
State: New York
Summary: Provides for Trend Factor 75 Percent of Trend Factor Projection for Outpatient Services.
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Transmittal Number: NY-10-37A
State: New York
Summary: Purposes a temporary reduction of 1.1% to most nursing home rates for services both provided and paid between September 16, 2010 and March 31, 2011.
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  • Financing & Reimbursement
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Transmittal Number: NY-10-36
State: New York
Summary: Across the Board Reduction -- Inpatient (FMAP = 61.59% based on effective period of 9/16/10-3/31/11).
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Transmittal Number: NY-10-38
State: New York
Summary: Imposes 1.1 Percent Reduction For Payments for Non Institutional Medicaid Services
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Transmittal Number: NY-10-43
State: New York
Summary: Establishes Recovery Audit Contractor RAC Program.
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Transmittal Number: NY-08-44
State: New York
Summary: Revising its Income and Resources Based on Methodology for Low Income Families LIF.
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Transmittal Number: CT-10-026
State: Connecticut
Summary: Amends the Public Assistance Reporting Information System language.
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