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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 161 to 170 of 263 results
Transmittal Number: RI-17-005
State: Rhode Island
Summary: Health Homes Face-to-Face Requirements.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: RI-17-002
State: Rhode Island
Summary: This eligibility SPA increases the standards for the optional State supplementary payment program.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: RI-16-004
State: Rhode Island
Summary: This amendment proposes a three percent increase to the Diagnostic Related Group (DRG) base rates for inpatient hospitals.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: RI-16-003
State: Rhode Island
Summary: Adjusts the DSH pool limit for non-government hospitals whose Medicaid inpatient utilization rate exceed 1.0%.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: RI-17-003
State: Rhode Island
Summary: To increase the amount of allowable home equity interest for individuals seeking Medicaid eligibility for nursing facility services or other long-term care services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: RI-17-001
State: Rhode Island
Summary: Increases the medically needy income limits for 2017.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: RI-16-007
State: Rhode Island
Summary: Grants authority to provide Opioid treatment Centers of Excellence services in the fee for servicer delivery system, aligning with similar services now available in managed care under recent health home State Plan revisions.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
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Transmittal Number: RI-16-001
State: Rhode Island
Summary: This SPA grants authority to implement a rate decrease and methodology change for CEDAR services. This SPA also implements revised quality metrics and oversight.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: RI-16-002
State: Rhode Island
Summary: This SPA grants authority to add CMHO Health Home services as an in-plan benefit for the Medicaid Managed care Organizations. The SPA further revises outcome measures and imposesa payment withhold.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: RI-16-005
State: Rhode Island
Summary: This SPA grants authority to implement a rate increase for outpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT