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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 201 to 210 of 329 results
Transmittal Number: RI-19-002
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:
  • Benefits
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-19-008
State: Colorado
Summary: Revises the methods and standards for payment rates of outpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
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Transmittal Number: PA-19-0005
State: Pennsylvania
Summary: Continues disproportionate share hospital payments to enhance access in economically distressed areas.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PA-19-0004
State: Pennsylvania
Summary: Continuing disproportionate share hospital payments to promote access to comprehensive inpatient services.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
  • Health Services Initiatives
Links:
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Transmittal Number: CT-19-0001
State: Connecticut
Summary: Increases the wages of home health aides, nursing aides, and certified nursing assistants who are providing services in home health agencies.
Approval Date:
Effective Date:
Topics:
  • Health Homes
Links:
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Transmittal Number: SD-19-0003
State: South Dakota
Summary: Reimbursement update for Health Homes.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Health Homes
Links:
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Transmittal Number: VA-19-002
State: Virginia
Summary: Updates DMAS wording to align with the Department of Behavioral Health and Developmental Services requirements for services provided in Therapeutic Group Homes by non-licensed and non-registered staff.
Approval Date:
Effective Date:
Topics:
  • Health Homes
Links:
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Transmittal Number: MO-19-0002
State: Missouri
Summary: SPA This adds language allowing the department to cover services by Licensed Professional Counselors and Licensed Marital and Family Therapists in a Federally Qualified Health Center and a Rural Health Center.
Approval Date:
Effective Date:
Topics:
  • Health Homes
  • Health Services Initiatives
Links:
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Transmittal Number: MS-19-0005
State: Mississippi
Summary: Allows the Mississippi Division of Medicaid to increase the number of home health visits from twenty-five (25) to thirty-six (36) visits per state fiscal year and to clarify the provider appeals process to include reconsideration prior to an administrative hearing request.
Approval Date:
Effective Date:
Topics:
  • Health Homes
Links:
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Transmittal Number: NY-18-0058
State: New York
Summary: Office for People With Developmental Disabilities (OPWDD) Medicaid Service Coordination (MSC) - Basic Home and Community Based Services (HCBS) Plan Support.
Approval Date:
Effective Date:
Topics:
  • Health Homes
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT