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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 511 to 520 of 611 results
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: KS-12-05
State: Kansas
Summary: Regarding exempting American Indians/Alaskan Natives (AI/AN) from copayments. This SPA ensures compliance with 1916(a) and (j) of the Act and 42 CFR 447.53.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: ND-11-021
State: North Dakota
Summary: Provider Services, 3% Rate Increase.
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Transmittal Number: ND-12-013
State: North Dakota
Summary: Update the payment methodology language for FQHHC's to allow a one-time rate adjustment to their medical and dental rates.
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Transmittal Number: ND-12-016
State: North Dakota
Summary: Amends the State Plan to provide a supplemental payment for' ICF providers.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: KS-11-16
State: Kansas
Summary: Provider Preventable Conditions.
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: ND-12-015
State: North Dakota
Summary: Adds Tobacco Cessation Counseling for Pregnant Women.
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Transmittal Number: ND-12-006
State: North Dakota
Summary: Amends the State Plan to Implement the Resource Utilization Group (RUG) IV classification system, Identify the increase for nursing facility services, change the allowable education expense limit, identify salaries accrued at a facility's year end, but not paid within 75 days of The cost report yearend as an unallowable cost, and additional changes to provide for further detail on reporting requirement.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: KS-11-10
State: Kansas
Summary: Methods and Standards for establishing Nursing Facility Payment Rates.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: ND-12-005
State: North Dakota
Summary: Modifies the reimbursement methodology necessary to comply with CMS' regulations specific for provider preventable conditions.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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