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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 134 results
Transmittal Number: ND-23-0035
State: North Dakota
Summary: This amendment will end the Primary Care Case Management program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
Links:
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Transmittal Number: ND-23-0025
State: North Dakota
Summary: The Amendment updates the Designee for State Plan submissions.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: ND-23-0012
State: North Dakota
Summary: This amendment amends the State Plan to increase the personal needs allowance.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: ND-23-0009
State: North Dakota
Summary: This amendment amends the State Plan to request an extension to the exemption for a Recovery Audit Contractor (RAC).
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-22-0021
State: North Dakota
Summary: This amendment is to amend the State Plan to update the designee for State Plan submissions.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: ND-21-0024
State: North Dakota
Summary: Update the PCCM program to allow individuals to change their PCP without cause, and mandates enrollment for 19 and 20-year-old individuals who are eligible under Medicaid expansion.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
Links:
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Transmittal Number: ND-21-0021
State: North Dakota
Summary: Updates to Third Party Liability activities to comply with

federal regulations.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: ND-21-0015
State: North Dakota
Summary: With this amendment, the state will:


lower the WHODAS assessment eligibility score requirement from 50 to 25 to increase the number of potential participants,
permit the use of medical records as an additional verification option for completing program eligibility forms,
increase rates for Training and Support for Unpaid Caregivers and Community Transition services, and
reduce provider qualifications for services to expand the provider pool in the state.

Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-21-0018
State: North Dakota
Summary: renumber Attachment 4.19-B
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: ND-21-0009
State: North Dakota
Summary: allows the state to implement an inflationary increase for Targeted Case Management Services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT