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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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Transmittal Number: LA-09-53
State: Louisiana
Summary: Implements a prior authorization process for coverage of certain high-tech imagining services.
Approval Date:
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Topics:
  • Program Administration
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Transmittal Number: IL-09-11
State: Illinois
Summary: Exclusion of temporary employment earnings from the decennial census using 1902(r)(2) and 1931.
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Effective Date:
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Transmittal Number: TX-09-047
State: Texas
Summary: Deletes the provision for reinvestment under the Attendant Compensation Rate Enhancement in the Primary Home Care program.
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Topics:
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Transmittal Number: NY-09-68
State: New York
Summary: Three Month Reduction in 2010 Trend Factor-Long Term Care.
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Effective Date:
Topics:
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Transmittal Number: NE-09-010
State: Nebraska
Summary: Inpatient Hospital Payment Methodology.
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Effective Date:
Topics:
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Transmittal Number: IA-09-012
State: Iowa
Summary: Indentifies inflation methodology for intermediate care facilities for the mentally retarded (ICF/MR) rate setting effective July 1, 2009.
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Effective Date:
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  • Program Administration
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Transmittal Number: SC-09-010
State: South Carolina
Summary: This amendment updates the effective date of the physician services fee schedule to October 1, 2009.
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Effective Date:
Topics:
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Transmittal Number: MD-10-01
State: Maryland
Summary: This SPA adds comprehensive substance abuse assessments, Level 1 Group and individual substance abuse counseling services and Level II Intensive Outpatient Services. Adding these services will increase payments to community-based substance abuse treatment programs.
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Effective Date:
Topics:
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Transmittal Number: MI-09-003
State: Michigan
Summary: This SPA proposes to place reasonable limits on the amounts of incurred necessary medical and remedial care expenses recognized under State law, but not covered under the State Plan.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
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Transmittal Number: NM-09-002
State: New Mexico
Summary: To implement the required Asset Verification System for the purpose of determining eligibility for aged, blind and disabled Medicaid applicants and recipients in accordance with 1940 of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
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