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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 84 results
Transmittal Number: FL-24-0012
State: Florida
Summary: This amendment makes technical and editorial changes to Private Duty Nursing services in Florida's State Medicaid Plan.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Program Administration
Links:
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Transmittal Number: FL-24-0015
State: Florida
Summary: This amendment is to update state plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: FL-24-0003
State: Florida
Summary: This amendment proposes to update language regarding behavioral analysis services to clarify eligible providers and excluded procedures.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Other Licensed Practitioners
Links:
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Transmittal Number: NM-24-0003
State: New Mexico
Summary: This amendment excludes ABLE accounts from Medicaid Estate Recovery (House Bill 98).
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NM-23-0015
State: New Mexico
Summary: This amendment is to discontinue the Recovery Audit Contractor (RAC) program. These changes are being made due to the State having a high managed care population at 83% compared to 17% Fee for Services; therefore, the state does not project any large recoveries in the future for the RAC program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: FL-22-0005
State: Florida
Summary: This state plan amendment updates the description of Florida Agency for Health Care Administration (AHCA) procedures for audits of Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), specifying that audits shall be based on American Institute of Certified Public Accountants (AICPA) Attestation Standards for examining or reviewing statistical information and data.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NM-21-0014
State: New Mexico
Summary: Attests that all minimum requirements outlined in Section 1902(a)(87) of the Social Security Act are met.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: FL-21-0010
State: Florida
Summary: Provides assurance of transportation requirements in accordance with Section 209 of the Consolidated Appropriations Act of 2021
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NM-21-0012
State: New Mexico
Summary: Implement updates to third party liability in order to comply with changes required

in the Bipartisan Budget Act (BBA) of 2018 and the Medicaid Services Investment and Accountability Act (MSIAA) of 2019.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NM-21-0010
State: New Mexico
Summary: proposes to update the language pertaining to the admission review for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID).
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT