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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 1098 results
Transmittal Number: NY-23-0070
State: New York
Summary: This plan proposes to implement a 4% rate increase for Addiction Services and Supports (OSAS) rehabilitative services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-22-0054
State: New York
Summary: Effective April 1, 2022, this amendment implements a 5.4 percent (%) Cost-of-Living Adjustment (COLA) to psychiatric residential treatment facility (PRTF) rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-22-0011
State: New York
Summary: Effective February 1, 2022, this amendment revises Psychiatric Residential Treatment Facility (PRTF) rates to include a twenty-five (25%) rate adjustment to the clinical/direct care component of the rate.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-21-0069
State: New York
Summary: Effective 12/31/2021, this amendment provides for minimum wage increases for psychiatric residential treatment facility (PRTF) service providers.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-21-0045
State: New York
Summary: Effective July 1, 2021, this amendment implements a one percent (1%) Cost-of-Living Adjustment (COLA) to psychiatric residential treatment facility (PRTF) rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: KS-24-0002
State: Kansas
Summary: This amendment abolishes copayments for Medicaid fee-for-service beneficiaries within the state.
Approval Date:
Effective Date:
Topics:
  • Premiums
  • Cost Sharing
Links:
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Transmittal Number: NY-24-0003
State: New York
Summary: To add coverage to Medicaid for preventive health services provided by doulas to pregnant and postpartum individuals.
Approval Date:
Effective Date:
Topics:
  • Coverage
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Transmittal Number: NY-23-0094
State: New York
Summary: To authorize payment for Evidence-Based Practices (EBPs) provided to children/youth referred and eligible for Children and Family Treatment and Support Services (CFTSS) by agencies designated in Other Licensed Practitioner (OLP) and/or Community Psychiatric Supports and Treatment (CPST) by the New York State designation process that have completed the EBP training and certification process.
Approval Date:
Effective Date:
Topics:
  • Other Licensed Practitioners
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Transmittal Number: NY-24-0013
State: New York
Summary: This plan proposes to update Ambulatory Patient Group (APG) base rates under rehabilitative services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-23-0032
State: New York
Summary: This plan proposes to implement a 5% rate increase for Addiction Services and Supports (OSAS) services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT