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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 1221 to 1230 of 1307 results
Transmittal Number: CT-10-022
State: Connecticut
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan to allow the State to negotiate supplemental rebates for covered outpatient drugs to Connecticut's Medicaid beneficiaries using The Optimal PDL $olution (TOP$) multi-State supplemental rebate agreement (SRA).
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Transmittal Number: NY-10-29
State: New York
Summary: NH Bed Rightsizing Program (FMAP = 61.59% based on effective date).
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Transmittal Number: NY-10-35
State: New York
Summary: Eliminates Case Management Services for School Supportive Health Services Program SSHSP.
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Transmittal Number: NY-07-45
State: New York
Summary: Reimbursement for Telehealth Services Provided by Certified Home Health Agency.
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  • Financing & Reimbursement
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Transmittal Number: NY-08-34
State: New York
Summary: Outpatient Upper Payment Limit Payments Non State Owned or Operated Government Generated Hospitals FMAP.
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  • Financing & Reimbursement
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Transmittal Number: NY-07-09
State: New York
Summary: Provides Supplemental Payments for Health and Hospitals Corporation Hospitals.
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Transmittal Number: NY-09-16
State: New York
Summary: Upper Payment Limit (UPL) Payments for HHCs (FMAP = 61.59%).
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  • Financing & Reimbursement
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Transmittal Number: CT-10-002
State: Connecticut
Summary: This amendment adds a new provision for inpatient psychiatric services. Specifically, it establishes rates for acute psychiatric care in general hospital psychiatric units for individuals requiring extended care.
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  • Financing & Reimbursement
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Transmittal Number: CT-09-026
State: Connecticut
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan Lo add authorization requirements to certain highcost, high-utilization procedures.
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  • Current State Plan
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Transmittal Number: CT-09-010
State: Connecticut
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan to expand the State's Medicaid Program to add hospice as a new benefit.
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  • Benefits
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