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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 121 to 130 of 445 results
Transmittal Number: IL-22-0007
State: Illinois
Summary: Ensures reimbursement methodology complies with applicable requirements for safety-net hospitals for obstetric services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: IL-21-0020
State: Illinois
Summary: Updates the fee schedule for long-acting injectable medications administered in Inpatient Hospital psychiatric settings.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: IL-22-0005
State: Illinois
Summary: This amendment implement Sections 1905(a)(30) and 1905(gg) of the Social Security Act, which require coverage of routine patient costs associated with participation in qualifying clinical trials.
Approval Date:
Effective Date:
Topics:
  • Coverage
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Transmittal Number: IL-22-0006
State: Illinois
Summary: Updates rates for Occupational Therapy (OT).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: AK-22-0003
State: Alaska
Summary: This amendment adds a mandatory benefit at section 1905(a)(30) for routine patient costs for items and services furnished in connection with the participation by Medicaid beneficiaries in qualifying clinical trials, in accordance with Section 210 of the Consolidated Appropriations Act, 2021.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: AK-22-0004
State: Alaska
Summary: This amendment updates Alaska’s Alternative Benefit Plan to align with Alaska’s Medicaid State Plan implementing the mandatory benefit under section 1905(a)(30) in accordance with Section 210 of the Consolidated Appropriations Act, 2021.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: IL-22-0004
State: Illinois
Summary: This amendment increases mental health rates for 2022.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: IL-21-0005
State: Illinois
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to set reimbursement for COVID-19 testing & vaccine administration to FQHCs/RHCs/ERCs.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
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Transmittal Number: IL-22-0003
State: Illinois
Summary: This amendment proposes to add peer support worker services under the Rehabilitation benefit.
Approval Date:
Effective Date:
Topics:
  • Coverage
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Transmittal Number: IL-21-0023
State: Illinois
Summary: Adjustment payments for previously closed hospital facilities.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
Links:
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