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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 14 results
Transmittal Number: UT-19-0010
State: Utah
Summary: Reimbursement update for Pediatric Dental Supplemental Payments.
Approval Date:
Effective Date:
Topics:
  • Dental
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-18-0006
State: Oregon
Summary: This SPA was submitted to add a Dental Services Pay for Performance supplemental payment program.
Approval Date:
Effective Date:
Topics:
  • Dental
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-18-0008
State: Utah
Summary: Bases pediatric dental fees for service supplemental.
Approval Date:
Effective Date:
Topics:
  • Dental
Links:
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Transmittal Number: UT-17-0016
State: Utah
Summary: Updates the effective date of rates for dental services and dentures to July 1, 2017.
Approval Date:
Effective Date:
Topics:
  • Dental
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-16-0002
State: Oregon
Summary: This SPA adds dentists and dental hygienists with an expanded practice permit to supervise non-licensed health workers under the Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Dental
Links:
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Transmittal Number: OR-16-0006
State: Oregon
Summary: Amends the Alternative Benefit Plan to partially restore dental benefits for non-pregnant adults, restore coverage of dentures and crowns for adults and more frequently covered scaling and root planning for adults.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Dental
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-16-0005
State: Oregon
Summary: This SPA partially restores dental services (stainless stell crowns and dentures) for non-payment adults age 21 and over.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Dental
Links:
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Transmittal Number: UT-13-032
State: Utah
Summary: This SPA clarifies the availability of dental services and extended services to pregnant women.
Approval Date:
Effective Date:
Topics:
  • Dental
Links:
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Transmittal Number: UT-13-030
State: Utah
Summary: Dental Reimbursement Methodology.
Approval Date:
Effective Date:
Topics:
  • Dental
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: UT-12-007
State: Utah
Summary: Reinstate emergency dental services to non-pregnant adults who are 21 years of age or older.
Approval Date:
Effective Date:
Topics:
  • Dental
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT