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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 4261 to 4270 of 4344 results
Transmittal Number: NC-09-025
State: North Carolina
Summary: Will allow Medicaid to end new admissions to this service effective January 1, 2010 and remove this service from the State Plan effective July 1, 2010. This amendment will also remove the paraprofessional level of community support services and case management functions from the service.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NC-09-024
State: North Carolina
Summary: Allows Medicaid to end new admissions to this service effective January 1, 2010 and remove this service from the State Plan effective July 1, 2010. This amendment will also remove the paraprofessional level of community support services and case management functions from the service.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: DE-09-005
State: Delaware
Summary: Allows disabled working individuals to buy into the Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: NV-09-012
State: Nevada
Summary: Adds Licensed Clinical Professional Counselors and Licensed Clinical Professional Counselor interns under the provider qualifications for a Qualified Mental Health Professional.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: LA-09-49
State: Louisiana
Summary: Allows the State to use findings from specified public agencies to evaluate a child's initial eligibility for enrollment or renewal for the Medicaid/LaCHIP program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: KS-09-010
State: Kansas
Summary: Disproportionate Share Hospital (DSH).
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: NC-09-007
State: North Carolina
Summary: Revises the rate setting methodology for ambulance providers. The ambulance fee schedule for all providers will be set at a percentage of Medicare. The government providers will be reconciled to cost.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: UT-09-007
State: Utah
Summary: Retroactive Period Effective Date.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: MD-09-06 M
State: Maryland
Summary: This SPA adds targeted case management services for individuals with serious mental illness and minors with serious emotional disorders.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: VI-09-02E
State: Virgin Islands
Summary: Incorporates a certified public expenditure methodology into the reimbursement for outpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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