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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 256 results
Transmittal Number: MN-19-0009
State: Minnesota
Summary: Reinstates the Recovery Audit Contractor (RAC) Program
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: AZ-19-0007
State: Arizona
Summary: Updates the Arizona disproportionate share hospital (DSH) pool 5 payment amount and participant list, for the DSH state plan rate year ending 2019
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: AZ-19-0008
State: Arizona
Summary: Authorizes the Arizona disproportionate share hospital (DSH) pool 1, 2, 1A, 2A and 4 payments, for the DSH state plan rate year ending 2020.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OK-20-0006
State: Oklahoma
Summary: This SPA allows a nurse's license to be portable between member states of the compact to increase access to care by allowing nurses to practice in other states without obtaining additional licenses
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NM-19-0016
State: New Mexico
Summary: Establishes a new minimum encounter rate for Federally Qualified Health Centers (FQHCs) based upon the national Medicare Prospective Payment System (PPS) base rate
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Current State Plan
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-18-0024
State: New York
Summary: Updates existing policy on the minimum utilization percentage and therapy leave days for psychiatric residential treatment facilities (PRTF).
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: AR-20-0011
State: Arkansas
Summary: Establishes new provider qualification requirements for targeted case managers in ARChoices Personal Care.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: RI-20-0004
State: Rhode Island
Summary: Update the Medically Needy Income Levels and to also update the standards for the Optional State Supplement Beneficiaries eligibility group
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: OH-20-0003
State: Ohio
Summary: updates the Attachment 4.19-B pages to account for new, amended,

and/or deleted Healthcare Common Procedure Code System Codes
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
Links:
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Transmittal Number: WA-20-0011
State: Washington
Summary: Makes changes to the 1915(k) Community First Choice state plan option to include changes related to Washington's response to the COVID-19 outbreak.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Disaster Relief
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT