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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 81 to 90 of 738 results
Transmittal Number: CA-23-0013
State: California
Summary: proposes to extend the Supplemental Reimbursement for Qualified Private Hospitals program to June 30, 2024
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CA-23-0020
State: California
Summary: This SPA authorizes supplemental add-on payments to the fee schedule rates for eligible ground emergency medical transports provided July 1, 2023 through June 30, 2024.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CA-23-0019
State: California
Summary: Medi-Cal FFS reimbursement rate updates for clinical laboratory or laboratory services
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: CA-23-0025
State: California
Summary: This SPA clarifies the reimbursement methodology for care coordination, recovery support services, peer support specialist services, and Medication Addiction Treatment (MAT) when provided in a residential treatment setting.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CA-23-0033
State: California
Summary: This SPA amendment is to allow for facilitated enrollment of California Work Opportunity and Responsibility to Kids (CalWORKs) beneficiaries into the Medicaid program without a separate financial eligibility determination.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
Links:
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Transmittal Number: CA-23-0030
State: California
Summary: This SPA amendment is to end the use of the electronic Asset Verification System (AVS) to determine or redetermine Medicaid eligibility for all Aged, Blind and Disabled (ABD) program applicants and recipients
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: CA-23-0024
State: California
Summary: This amendment is for §1915 state plan home and community-based services (HCBS) benefit and adding the new service Coordinated Family Supports.
Approval Date:
Effective Date:
Topics:
  • Home and community based services
  • Reimbursement
Links:
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Transmittal Number: DC-23-0012
State: District of Columbia
Summary: This plan amendment will update payment for physician-administered drugs. It will also allow the Department of Health Care Finance to reimburse the entire class of physician-administered drugs at one hundred percent (100%) of Medicare rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CA-23-0034
State: California
Summary: This amendment is to clarify existing policy for preventive services regarding mandatory coverage requirements for approved adult vaccines to comply with CMS guidance in State Health Official (SHO) Letter 23-0003.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: CA-22-0012
State: California
Summary: Renews the rate setting methodology for freestanding skilled nursing facilities Level -B (FS/NF-B) and freestanding adult subacute facilities (FSSA) and provides a 2.4 percent increase in statewide weighted average Medi-Cal reimbursement rate for FS/NF-B and FSSA facilities
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT