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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 31 to 40 of 589 results
Transmittal Number: MT-23-0023
State: Montana
Summary: This amendment will allow Licensed Marriage and Family Therapists (LMFT) and LMFT Licensure Candidates in training to provide services as qualified behavioral health clinicians for covered rehabilitative services.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: HI-23-0014
State: Hawaii
Summary: Hawaii MQD rebasing NF rates and changing the case mix from using the RUGs system to the Patient Driven Payment Model system (PDPM). The change is required because CMS has changed to PDPM and will no longer be supporting the RUGs system
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: HI-23-0008
State: Hawaii
Summary: This State Plan Amendment (SPA) proposes to increase payment up to Medicare benchmark for most medical professional, non-institutional items and services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MT-23-0020
State: Montana
Summary: This amendment adopts version 40 of the APR-DRG grouper, which updates the relative weight values, and average national length of stay (ALOS).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MT-23-0022
State: Montana
Summary: This state plan amends the fee schedules for services listed on the Introduction Pages.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MT-23-0019
State: Montana
Summary: This plan amendment updates the date of the fee schedule for state plan services on the Introduction Page.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: HI-23-0010
State: Hawaii
Summary: This amendment is to implement twelve months continuous eligibility for children.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: MT-23-0011
State: Montana
Summary: This plan amendment increases the base rate for General Hospitals and Centers of Excellence.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MT-23-0004
State: Montana
Summary: This amendment updates the fee schedules listed on the Introduction Pages.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MT-23-0006
State: Montana
Summary: This state plan amendment clarifies coverage of crisis intervention services and service rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT