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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 91 to 100 of 1013 results
Transmittal Number: DC-23-0011
State: District of Columbia
Summary: To revise the rate rebasing schedules for Specialty Hospitals.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: NY-23-0099
State: New York
Summary: Cost containment Zero-Trend
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: DC-23-0015
State: District of Columbia
Summary: DESCRIPTION: Proposes several changes to update, clarify, and streamline language in the state plan. The proposed changes include: 1) streamlining language that describes certain therapy modalities, which are available under the Counseling/Therapy service benefit, 2) updating supervision requirements for behavioral health providers in Federally Qualified Health Centers (consistent with District Law), 3) clarifying education and experience requirements for credentialed staff able to provide State Plan rehabilitative services, and 4) updating rates for select behavioral health services according to the fee schedule.
Approval Date:
Effective Date:
Topics:
  • Preventative Services
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Transmittal Number: NY-22-0039
State: New York
Summary: 2022 IP Non-state government owned UPL Payments
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: NY-22-0038
State: New York
Summary: Voluntary Supplemental Inpatient Payments
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: DC-23-0013
State: District of Columbia
Summary: This plan amendment to update rates for Mental Health Rehabilitative Services and Adult Substance Use Rehabilitative Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: NY-23-0089
State: New York
Summary: This amendment proposes to cover the Chronic Disease Self-Management Program (CDSMP) for Arthritis for dates of service on or after October 1, 2023.
Approval Date:
Effective Date:
Topics:
  • Coverage
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Transmittal Number: NY-22-0019
State: New York
Summary: This plan proposes a minimum wage adjustment for freestanding clinics and ambulatory surgical centers.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: NY-22-0018
State: New York
Summary: This plan proposes a minimum wage adjustment for clinics.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: NY-22-0076
State: New York
Summary: This plan proposes updates to remove the “Behavioral Health Utilization Controls” payment reductions for clinics.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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