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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 56 results
Transmittal Number: NV-21-0007
State: Nevada
Summary: Continues the authority for the Indigent Accident Fund program, a supplemental payment program based on inpatient hospital utilization to preserve access to inpatient hospital services, through state fiscal year 2022.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NV-21-0010
State: Nevada
Summary: removes the authority to allow managed care to provide Habilitation services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: NV-21-0004
State: Nevada
Summary: Effective beginning October 1, 2020 and ending September 30, 2025, this amendment adds a Supplement 2 to Attachment 3.1-A for Medication-Assisted Treatment (MAT) as required within section 1905(a)(29) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act of 2018. 
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: NV-21-0001-A
State: Nevada
Summary: This amendment proposes to add coverage for a new type of non-emergency medical transportation (NEMT) called Non-Emergency Secure Behavioral Health Transport as an optional medical service outside of the state's NEMT broker program to the state’s Alternative Benefit Plan pages.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NV-20-0012
State: Nevada
Summary: This SPA continues the authority for the Indigent Accident Fund program, a supplemental payment program based on inpatient hospital utilization to preserve access to inpatient hospital

services, through state fiscal year 2021.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NV-20-0011
State: Nevada
Summary: Transfer to new SPA template and add language for approved carve out of CCBHC and Zolgensma.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NV-20-0015
State: Nevada
Summary: corrects the state plan to add in the methodology for Community Paramedicine services and Telemedicine.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NV-20-0004
State: Nevada
Summary: This amendment is to update the needs-based criteria; update who can perform evaluations and re-evaluations of 1915(i) eligibility; update language related to the CMS HCBS settings requirements; update who can perform the person-centered planning assessment; revise services covered under Habilitation services; and update reimbursement pages.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Financing & Reimbursement
  • Benefits
  • Program Administration
Links:
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Transmittal Number: NV-19-0013
State: Nevada
Summary: Consolidates the supervision of the Peer Supporter under the Clinical Supervisor with the Behavioral Health Community Network (BHCN) and removes the requirement of medical supervision for the provider
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
Links:
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Transmittal Number: NV-19-0004
State: Nevada
Summary: Removal of Partial Hospitalization and Intensive Outpatient Services from 1915(i) HCBS to 1905(a).
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
  • Current State Plan
Links:
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