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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 381 to 390 of 481 results
Transmittal Number: DE-12-013
State: Delaware
Summary: This SPA modifies reimbursement methodology for inpatient psychiatric services for children under 21.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: DE-12-011
State: Delaware
Summary: Telemedicine delivery system for providers enrolled under Delaware Medicaid.
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Effective Date:
Topics:
  • Prescription Drugs
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Transmittal Number: ND-12-004
State: North Dakota
Summary: This SPA: amends the' State Plan to revise the Health Management program for limitations on amount, duration, and scope and 4. 19=13 payment amendments.
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Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: ND-12-019
State: North Dakota
Summary: Amends the State Plan to clarify language related to preventative services;; medical nutrition therapy.
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: ND-12-001
State: North Dakota
Summary: Changes the drug ingredient cost reimbursement from the lesser of Average Wholesale Price (AWP) minus 10% or Wholesale Acquisition Cost (WAC) plus 9% to WAC plus 8%, or if-no WAC exist's for the product, then the Estimated Acquisition Cost (EAC) will be Direct Price plus 8%.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: ND-12-020
State: North Dakota
Summary: Implements the Asset Verification System for Aged, Blind or Disabled programs that meet federal requirements as set forth in Section 1940(a) of the Social Security Act.
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Transmittal Number: ND-12-017
State: North Dakota
Summary: Adds Physician Assistants (PAs), Clinical Nurse Specialists (CNSs) and Registered Nurses (RNs) as types of providers that can enroll with North Dakota Medicaid.
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Transmittal Number: ND-12-021
State: North Dakota
Summary: Amends the State Plan to identify the reimbursement increase,for selected inpatient hospital services effective July 1, 2012.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: DE-12-010
State: Delaware
Summary: Survey and certification - change in administrative authority of the state long-term care ombudsman program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: DE-12-012
State: Delaware
Summary: Reimbursement Methodology for ICF/MR Facilities.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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