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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 331 to 340 of 431 results
Transmittal Number: SC-13-002
State: South Carolina
Summary: Technical SPA to remove reimbursement language applicable to 11-022 which was included in the submiss1on of SC 11-026, Inpatient Hospital Reimbursement, and subsequently approved by CMS via the October 23, 2012 approval letter.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: SC-12-019
State: South Carolina
Summary: Moves optometry to the physician benefit.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: SC-12-021
State: South Carolina
Summary: Services for institutional long term care facilities & nursing.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: DE-12-014
State: Delaware
Summary: Payment methodology for Outpatient hospital services specifically Partical hospital psychiatric services and PPEC services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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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
Links:
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Transmittal Number: SC-12-022
State: South Carolina
Summary: This amendment changes the language under the enrollment process from an algorithm that ensures an equitable distribution of beneficiaries to a quality weighted assignment algorithm for enrollments that begin on or after January 1, 2013.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: DE-12-011
State: Delaware
Summary: Telemedicine delivery system for providers enrolled under Delaware Medicaid.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: SC-12-020
State: South Carolina
Summary: This SPA This SPA reflects changes in pharmacy coverage required by Section 175 of the Medicare improvement for Patients and Providers.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: SC-12-018
State: South Carolina
Summary: Extends the sunset date for Special Needs Transportation.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: SC-12-016
State: South Carolina
Summary: Implements Express Lane Eligibility.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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