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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 786 results
Transmittal Number: ND-25-0005
State: North Dakota
Summary: This amendment updates the recipient and provider qualifications for Target Case Management (TCM) for individuals with a behavioral health condition.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
  • Coverage
Links:
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Transmittal Number: DC-25-0001
State: District of Columbia
Summary: This plan amendment is to update the fee schedule reimbursement rates for home health services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ND-25-0004
State: North Dakota
Summary: This plan amendment amends the State Plan to reimburse hospital leave days for Psychiatric Residential Treatment Facilities.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ND-25-0003
State: North Dakota
Summary: This plan amendment updates the inflation factor for Psychiatric Residential Treatment Facilities (PRTF) daily rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ND-25-0001
State: North Dakota
Summary: This plan amendment authorizes a three percent (3.0%) inflationary increase for all Nursing Facility services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ND-25-0002
State: North Dakota
Summary: This plan amendment updates the distribution methodology for the nursing facility incentive program.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: DC-25-0002
State: District of Columbia
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: MO-24-0020
State: Missouri
Summary: This SPA accept Medicaid eligibility decisions made by the Exchange or other agencies administering insurance affordability programs and to furnish Medicaid in to the same extent and in the same manner as if the applicant had been determined by the state to be eligible for Medicaid.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: ND-24-0020
State: North Dakota
Summary: This State Plan Amendment updates 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:
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MO-24-0015
State: Missouri
Summary: This amendment adds doula services to the alternative benefit plan.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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