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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 264 results
Transmittal Number: MT-22-0019
State: Montana
Summary: lists new fee schedules for services within the Other Rehabilitative Services, in accordance with the 2021 Montana legislature.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: MT-22-0014
State: Montana
Summary: Updates the date of the fee schedule for state plan services on the Introduction Page.
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  • Financing & Reimbursement
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Transmittal Number: MT-22-0020
State: Montana
Summary: Updates the date of the fee schedule for the Licensed Marriage and Family Therapists state plan.
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  • Financing & Reimbursement
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Transmittal Number: DC-22-0004
State: District of Columbia
Summary: updates the Physician Supplement Payment for Fiscal Year 2023.
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  • Financing & Reimbursement
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Transmittal Number: DC-22-0005
State: District of Columbia
Summary: increase for Behavioral Health Rehabilitation Services.
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Transmittal Number: DC-21-0021
State: District of Columbia
Summary: Disproportionate Share Hospital Payment
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  • Financing & Reimbursement
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Transmittal Number: MT-21-0018
State: Montana
Summary: Updates the reimbursement methodology for psychiatric residential treatment facility services for State Fiscal Year 2022.
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Transmittal Number: MT-21-0016
State: Montana
Summary: This plan amendment allows for the reimbursement of providers according to the new rates, as posted on the state’s fee schedules, that have been calculated using the appropriations from the 2021 Montana legislative session
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Transmittal Number: MT-21-0021
State: Montana
Summary: This plan amendment increases the Targeted Case Management (TCM) State Plan Services rate and conversion factor to reflect the 2021 legislative appropriation of a 1% increase. 
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Transmittal Number: MT-21-0010
State: Montana
Summary: This plan amendment incorporates the Montana legislatively approved provider rate increase and updates the date of the fee schedule for state plan services on its Introduction Page.  
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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