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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 311 to 320 of 337 results
Transmittal Number: DE-11-006
State: Delaware
Summary: The State Plan to include Medicaid coverage for comprehensive tobacco cessation services for pregnant women. The State is taking this action in accordance with Section 4107 of the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: DE-11-005
State: Delaware
Summary: Implements regulations for provider preventable conditions and related payment adjustments for Medicaid.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: RI-11-0007
State: Rhode Island
Summary: HHSPA Health Home.
Approval Date:
Effective Date:
Topics:
  • Health Homes
Links:
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Transmittal Number: RI-11-0006
State: Rhode Island
Summary: HHSPA Health Home.
Approval Date:
Effective Date:
Topics:
  • Health Homes
Links:
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Transmittal Number: RI-11-005
State: Rhode Island
Summary: Revises Disproportionate Share Hospital Payments.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DC-11-06
State: Delaware
Summary: Prohibition on Payments to Institutions or Entitles located Outside of the United States.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DE-11-003
State: Delaware
Summary: Medicaid Prohibition on payments to institutions or entities located outside of the United States.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: RI-11-002
State: Rhode Island
Summary: This SPA transmitted a proposed amendment to Rhode Island's approved Title XIX State plan to increase the Federal poverty guidelines (FPGs) for various poverty level groups to reflect the increase in the FPGs as published in the Federal Register (FR) on January 20, 2011.
Approval Date:
Effective Date:
Topics:
Links:
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Transmittal Number: DE-11-004
State: Delaware
Summary: Update Delaware's State Plan to exempt Medicare cost sharing benefits paid under the Medicare Savings.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
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Transmittal Number: RI-11-003
State: Rhode Island
Summary: Proposed amendment to your Department's approved Title XIX State plan concerning an eligibility determination system that provides for data matching through the Public Assistance Reporting Information System (PARIS) project or any successor system. Section 1903(r) of the Social Security Act as amended by §3 of the Qualifying Individual Program Supplemental Funding Act of 2008. Public Law 110-379. Requires that States have eligibility determination systems that provide for data matching through the PARIS project or any successor system.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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