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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 13 results
Transmittal Number: SD-24-0016
State: South Dakota
Summary: This Amendment changes to Preadmission Screening and Resident Review (PASRR) policies.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: SD-23-0008
State: South Dakota
Summary: This SPA provides South Dakota with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: SD-22-0011
State: South Dakota
Summary: The purpose of this SPA is to add mandatory coverage of COVID-19 vaccine and administration, testing, and treatment benefits as required by Section 9811 of the American Rescue Plan Act.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: SD-21-0005
State: South Dakota
Summary: Revises the qualifying criteria for traumatic brain injury or spinal cord injury addon payment for individuals residing in a nursing facility. In addition, it allows flexibility for individuals to qualify for this add-on payment in circumstances where completing an actual rehabilitation program is not appropriate.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: SD-19-0011
State: South Dakota
Summary: Effective 11/01/2019 this amendment clarifies that substance use disorder (SUD) early intervention services provided by a SUD agency are covered and SUD treatment services may be provided in an institution for mental disease (IMD).
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
Links:
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Transmittal Number: SD-20-0003
State: South Dakota
Summary: This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to waive cost-sharing for testing services, testing-related services and treatments of COVID-19 and suspend the face-to-face requirements for community mental health centers.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Cost Sharing
  • Eligibility
  • Benefits
Links:
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Transmittal Number: SD-19-005
State: South Dakota
Summary: Adds services of community health workers as a covered benefit under preventive services.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: SD-18-007
State: South Dakota
Summary: Specifically pertaining to mental health practitioners, nutritionists, and dieticians in South Dakota's State Plan.
Approval Date:
Effective Date:
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  • Benefits
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Transmittal Number: SD-18-0002
State: South Dakota
Summary: Out of state former foster care youth eligibility.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
Links:
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Transmittal Number: SD-17-003
State: South Dakota
Summary: This amendment changes personal care services limitations to a maximum of 500 hours annually and revises prior authorization requirements.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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