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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 1611 to 1620 of 1731 results
Transmittal Number: MI-11-04
State: Michigan
Summary: Extends the reimbursement methodology sunsent date for Public Clinic Services.
Approval Date:
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Topics:
  • Benefits
  • Financing & Reimbursement
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Transmittal Number: MS-11-005
State: Mississippi
Summary: Revise the payment methodology for services provided by Nursing Facilities, Intermediate Care Facilities for the Mentally Retarded and Psychiatric Residential Treatment Facilities.
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  • Benefits
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Transmittal Number: VA-11-03
State: Virginia
Summary: Adds coverage of the optional family planning group with limited covered services.
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Effective Date:
Topics:
  • Benefits
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Transmittal Number: IL-11-10
State: Illinois
Summary: Authorizes Illinois in Include Optometrist Services Under Physician Services.
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Transmittal Number: VA-11-04
State: Virginia
Summary: Implement the mandate that children must be permitted to continue to receive curative medical services even if they also elect to receive hospice services.
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  • Benefits
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Transmittal Number: NY-11-37
State: New York
Summary: This SPA makes changes to the utilization limits for physical therapy services, occupational therapy services, and speech-language therapy services.
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Effective Date:
Topics:
  • Benefits
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Transmittal Number: NY-10-03
State: New York
Summary: Inpatient Psych Reform (FMAP = 61.59% based on effective date).
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  • Benefits
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Transmittal Number: VA-11-06
State: Virginia
Summary: Incorporating freestanding birthing centers.
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Effective Date:
Topics:
  • Benefits
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Transmittal Number: VT-11-002
State: Vermont
Summary: This SPA transmitted a proposed amendment to Vermont's approved Title XIX State plan to increase the Federal poverty guidelines (FPGs) for various poverty level groups to reflect the increase in the FPGs as published in the Federal Register (FR) on January 20, 2011.
Approval Date:
Effective Date:
Topics:
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Transmittal Number: GU-11-001
State: Guam
Summary: Physical Therapy, Occupational Therapy and Audiology.
Approval Date:
Effective Date:
Topics:
  • Benefits
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