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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 137 results
Transmittal Number: NE-23-0011
State: Nebraska
Summary: This amendment is to waive the requirement to implement a Recover Audit Contractor (RAC) for two years.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-23-0012
State: Colorado
Summary: This Amendment updates the State Governor’s Designation Letter for who can sign state plan submissions for Colorado.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-22-0027
State: Colorado
Summary: This Amendment updates the State Governor’s Designation Letter for who can sign state plan submissions for Colorado.


Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-21-0045
State: Colorado
Summary: Medicaid coverage of ce1tain medical transpo1tation. It attests that all the minimum requirements outlined in 1902(a)(87) of the Social Security Act are met.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-21-0042
State: Colorado
Summary: Revises the minimum requirements for Targeted Case Management case managers to include a bachelor's degree, or five (5) years of relevant experience in the field of long tenn services and suppo1is (which includes developmental disabilities), or some combination of education and experience appropriate to the requirements of the position.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-21-0016
State: Nebraska
Summary: Requests a waiver extension to the Federal requirements for implementing a Recovery Audit Contractor (RAC) program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-21-0010
State: Nebraska
Summary: Updates Inpatient Provider Rates for SFY 2022.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Reimbursement
Links:
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Transmittal Number: NE-21-0013
State: Nebraska
Summary: Non-Emergency Medical Transportation (NEMT) requirements
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CO-21-0032
State: Colorado
Summary: adds clarifying language specific in how Graduate Medical Education (GME) payments are made to hospitals for inpatient and outpatient hospital services provided to Medicaid managed care clients.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NE-21-0011
State: Nebraska
Summary: updates outpatient and professional provider rates for SFY 2022.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT