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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 111 to 120 of 361 results
Transmittal Number: ID-19-0008
State: Idaho
Summary: Amends State Plan Attachment 3.1-F to implement a fixed enrollment process for beneficiaries that are enrolled into

the state’s Healthy Connections program
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: SD-20-0003
State: South Dakota
Summary: This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to waive cost-sharing for testing services, testing-related services and treatments of COVID-19 and suspend the face-to-face requirements for community mental health centers.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Cost Sharing
  • Eligibility
  • Benefits
Links:
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Transmittal Number: ID-19-0023
State: Idaho
Summary: Add 1915(I) State Plan Option for reimbursement of state plan substance use disorder services delivered in an IMD setting.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Current State Plan
Links:
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Transmittal Number: SD-20-0001
State: South Dakota
Summary: Clarifies that census bureau wages for temporary employment Goals and Objectives related to decennial census activities are not considered countable income.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: ID-20-0003
State: Idaho
Summary: Proposes to allow the state to comply with the Medicaid Drug Utilization Review (DUR) provisions included in Section 1004 of the Substance Use-Disorder Prevention that promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (P.L. 115-271).
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: SD-19-0010
State: South Dakota
Summary: Reimbursement update for Drug Utilization Review
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
  • Financing & Reimbursement
Links:
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Transmittal Number: SD-19-0012
State: South Dakota
Summary: Reimbursement update for Physician and Laboratory Services
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: ID-19-0009
State: Idaho
Summary: Authorizes 100% FFP for services provided by non-IHS/Tribal providers to Medicaid-eligible individuals who are Tribal Medicaid beneficiaries when the provider has a written care coordination agreement with an IHS/Tribal facility.

 
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Tribal Issues
Links:
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Transmittal Number: ID-19-0020
State: Idaho
Summary: Amends Idaho’s Basic Alternative Benefit Plan (Basic ABP) to add Partial Hospitalization services to the Basic ABP
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Current State Plan
Links:
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Transmittal Number: ID-19-2021
State: Idaho
Summary: ABP Enhanced Partial Hospitalization.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT