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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 111 to 120 of 171 results
Transmittal Number: NM-16-03
State: New Mexico
Summary: Updates the State's Tribal Consultation Requirements.
Approval Date:
Effective Date:
Topics:
  • Tribal Issues
Links:
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Transmittal Number: NM-15-015
State: New Mexico
Summary: Adds reimbursement methodology to cost settle Medicaid School-based services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NM-16-01
State: New Mexico
Summary: Removes the lower $2.50 dispensing fee, and apply a $3.65 dispensing fee to all Medicaid fee-for-service pharmacy claims without regard to product selection.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NM-15-0014
State: New Mexico
Summary: Provides coordinated care under State Plan authority for individuals with the chronic conditions of Serious Mental Illness and Severe Emotional Disturbance.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: NM-15-01
State: New Mexico
Summary: Adds and Updates language describing the coverage and reimbursement of Applied Behavior Analysis services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NM-15-16
State: New Mexico
Summary: Reduces the outpatient hospital prospective payment system rate for the use of a hospital outpatient facility by visiting dentist.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NM-15-13
State: New Mexico
Summary: This amendment proposes to increase each private nursing facility's existing "Low Level of Care" rate by 4 percent.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NM-15-11 -
State: New Mexico
Summary: Clarifies How Hospital Based Rural Health Clinic Services are Paid and the Effective Date on Which that Methodology Will Be Implemented.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NM-15-09 A
State: New Mexico
Summary: Option of a State Long Term Care Insurance Partnership Plan, and exempts any resources from the plan from estate recoveries.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: NM-15-0010
State: New Mexico
Summary: Covers children who were in foster care and on Medicaid in any state at the time they turned 18 or aged out of the foster care system providing they are under age 26.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
Links:
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