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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 271 to 280 of 339 results
Transmittal Number: DC-13-0015-MM
State: District of Columbia
Summary: Incorporates the MAGI-Based Residency Requirements.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: DC-13-0013-MM
State: District of Columbia
Summary: MAGI Based Eligibility Group.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: DC-13-08
State: District of Columbia
Summary: Income Disregards for children with non-IV E Adoption Assistance and Independent Foster Care Adolescents.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: AK-13-011
State: Alaska
Summary: Adds 2101f like children as an optional reasonable classification of individuals to the Medicaid state plan and eliminates the income test for that group and certain other reasonable classifications of children.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: DC-12-08
State: District of Columbia
Summary: This amendment augments language to the State Plan which is consistent with Section 2301 of the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AK-13-007
State: Alaska
Summary: Adds the hospice concurrent care legislation requirement.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: DC-13-03
State: District of Columbia
Summary: Medicaid Pediatric Palliative Care. Medicaid Case Management.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: DC-13-004
State: District of Columbia
Summary: Medicaid reimbursement for eligible Primary Care Physicians (PCP) services payment.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: DC-13-001
State: District of Columbia
Summary: Authorizes a one-time lump sum, supplemental payment for physician and specialty services.
Approval Date:
Effective Date:
Topics:
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Transmittal Number: AK-13-001
State: Alaska
Summary: Updates the optional state supplement standards for special income level groups consistent with the published 2013 federal poverty levels.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Cost Sharing
  • Eligibility
  • Program Administration
Links:
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