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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 1 to 10 of 133 results
Transmittal Number: WA-23-0044
State: Washington
Summary: This amendment is to update the section of the Medicaid State Plan that ensures compliance and enforcement for Intermediate Care Facilities for People with Developmental Disabilities (ICF/IID).
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WA-23-0020
State: Washington
Summary: This amendment is to comply with requirements regarding methods and procedures to safeguard against unnecessary utilization of care and services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WA-23-0024
State: Washington
Summary: This amendment reflects the appointment of Dr. Charissa Fotinos as the state’s Medicaid Director, in the Washington State Health Care Authority, which is the single state agency.
Approval Date:
Effective Date:
Topics:
  • 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.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WA-22-0005
State: Washington
Summary: Adds that home health services must be ordered by a physician, physician assistant (PA), or advanced registered nurse practitioner (ARNP) as part of a written plan of care.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WA-21-0039
State: Washington
Summary: Ensures compliance with Section 209 of the Consolidated Appropriations Act, 2021.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WA-22-0002
State: Washington
Summary: Adds information regarding nurse midwife services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WA-21-0025
State: Washington
Summary: Updates the reference to the location of air ambulance transportation rates. The website was no longer valid. The state replaced that cite with a cross-reference to the State Plan section that contains the correct website.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WA-21-0024
State: Washington
Summary: Updated the fee schedule effective dates for several Medicaid programs and services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WA-21-0014
State: Washington
Summary: Effective April 1, 2021, this amendment updated the fee schedule effective dates for several Medicaid programs and services. This is a regular, budget neutral update.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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