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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 141 to 150 of 3689 results
Transmittal Number: NC-22-0030
State: North Carolina
Summary: This amendment describes services for Care Management for High-Risk Pregnancy (CMHRP)
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NC-22-0029
State: North Carolina
Summary: This amendment describes services for Care Management for At-Risk Children (CMARC) and returns language related to CMARC.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Program Administration
Links:
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Transmittal Number: WA-22-0030
State: Washington
Summary: This amendment updates the state plan to waive the Recovery Audit Contractor (RAC) Program.
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: CT-22-0033
State: Connecticut
Summary: This amendment looks to increase the minimum Community Spouse Protected Amount (CSPA) for institutionalized individuals.
Approval Date:
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Topics:
  • Program Administration
Links:
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Transmittal Number: IL-22-0029
State: Illinois
Summary: This amendment is an exception from the Medicaid Recovery Audit Contractor (RAC) requirements.
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  • Program Administration
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Transmittal Number: NH-22-0027
State: New Hampshire
Summary: This amendment proposes to renew the Recovery Audit Contract (RAC) Exception for a two-year period.
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Effective Date:
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  • Program Administration
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Transmittal Number: MS-22-0024
State: Mississippi
Summary: This amendment seeks an exception to the Recovery Audit Contractors (RAC) requirements for one (1) year from the approval date.  This allows the state to procure a new, competitively bid RAC contract that complies with current state and federal laws and regulations.
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  • Program Administration
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Transmittal Number: MO-22-0036
State: Missouri
Summary: This SPA provides annual assurance of the pharmacy program adherence to the FULs requirements of federal regulation for the time period October 1, 2021 through September 30, 2022.
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  • Program Administration
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Transmittal Number: OR-22-0024-A
State: Oregon
Summary: This amendment is to remove the designations for Prepaid Inpatient Health Plan (PIHP) and Prepaid Ambulatory Health Plan (PAHP) from the State Plan.
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  • Program Administration
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Transmittal Number: ND-22-0021
State: North Dakota
Summary: This amendment is to amend the State Plan to update the designee for State Plan submissions.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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