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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 146 results
Transmittal Number: WV-15-008
State: West Virginia
Summary: To renew the PPS and tertiary and rural safety net hospitals' supplemental payment pools and set new pool amounts.
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Transmittal Number: WV-15-007
State: West Virginia
Summary: Targeted Case Management.
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Transmittal Number: WV-15-005
State: West Virginia
Summary: Modifies the State's methods and standards for reimbursement inpatient hospital services.
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  • Financing & Reimbursement
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Transmittal Number: WV-15-009
State: West Virginia
Summary: This amendment reduces the growth in rates for nursing facility services.
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  • Program Administration
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Transmittal Number: WV-15-0006
State: West Virginia
Summary: Adds provisions of Medicaid coverage to Pregnant Women, Children Under Age 19, Parents/ Caretaker Relatives, Adult Group, and Former Foster Children when determined presumptively eligible by a qualified entity.
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  • Benefits
  • Program Administration
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Transmittal Number: WV-14-0007
State: West Virginia
Summary: Amends the cost sharing obligations for West Virginia Medicaid Beneficiaries.
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  • Cost Sharing
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Transmittal Number: WV-15-003
State: West Virginia
Summary: Modifies the State's methods and standards for setting payment rates for inpatient hospital services.
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  • Financing & Reimbursement
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Transmittal Number: WV-15-0004
State: West Virginia
Summary: Alternative Benefit Plan (ABD) Service Delivery System Amendment.
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  • Program Administration
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Transmittal Number: WV-15-002
State: West Virginia
Summary: Revised Sovereign State Drug Consortium Pharmacy Supplement Rebate Agreement.
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  • Prescription Drugs
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Transmittal Number: AS-15-0001
State: American Samoa
Summary: This amendment updates the prosthetic devices section to include surgically implanted devices for cataract patients, ostomy bags, and breast prostheses in American Samoa's State plan.
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Effective Date:
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  • Benefits
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