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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 221 to 230 of 254 results
Transmittal Number: CT-18-0016
State: Connecticut
Summary: This amends the State plan to make various changes to the reimbursement of chemical maintenance clincis including:pro-rating the weekly rate to account for weeks in which services are provided on fewer than seven days in the week, specifying in detail the services that are included in the rate, and providing for specific types of documentation regarding the services that are provided.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
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Transmittal Number: TX-18-0001
State: Texas
Summary: This SPA updates the section of the State Plan that addresses the State Medicaid Supplemental Drug Rebate Agreements.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: AR-15-011
State: Arkansas
Summary: This state plan amendment makes corrections to the citations and page format for PACE pages of the State Plan, per companion letter with SPA #15-0007 that adjusted rates for personal care services.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: MT-15-0021
State: Montana
Summary: Added introduction page.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
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Transmittal Number: NC-14-016
State: North Carolina
Summary: This amendment modifies the physician's attestation date from June 30, 2013 to June 30, 2014.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: MD-14-03
State: Maryland
Summary: Reflects Marylands current exemption due to lack of a Recovery Audit Contractor (RAC), and the need for a protocol in the absence of one.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
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Transmittal Number: ND-13-0022
State: North Dakota
Summary: Effective January 1, 2014, the state affirms citizenship regulations, specified reasonable opportunity options, and, specified policy options related to immigrant eligibility in accordance to the Affordable Care Act. 
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: OH-13-0032
State: Ohio
Summary: Establishes Alternative Benefit Plan and Reflects Correct Page Numbering for OH-13-0032.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: CT-12-010
State: Connecticut
Summary: his SPA transmitted a proposed amendment to Connecticut's approvd Title XIX State Plan Amendments 3.1A, 3.1B and 4.19B in order to revised the reimbursement methodology for other practitioner services.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: CT-12-009
State: Connecticut
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan Attachments 2.2A, 2.6A, 3.1A, and 4.19B in order to establish a Family Planning Services coverage group purseant to Section 2303 of the Patient Protection and Affordable Care Act., P.L. 111-148.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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