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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 55 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: NE-23-0007
State: Nebraska
Summary: This SPA proposes to update the language on the state’s excluded drug list on the Pharmacy state plan coverage pages.
Approval Date:
Effective Date:
Topics:
  • Prescribed Drugs
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:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-21-0013
State: Nebraska
Summary: Non-Emergency Medical Transportation (NEMT) requirements
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
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
Transmittal Number: NE-21-0014
State: Nebraska
Summary: The state submitted an ABP that fully aligns with the Medicaid state plan (which was the same as the previous prime plan) and includes all expansion populations.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-20-0002
State: Nebraska
Summary: Opioid Treatment Program
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NE-20-0003
State: Nebraska
Summary: adds the Medically Monitored Withdrawal service including initial assessment, substance use disorder assessment, medication administration, and individual, group, and family counseling services. The provider qualification descriptions have also been added.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-20-0006
State: Nebraska
Summary: This amendment adds more comprehensive language describing the payment methodology for meals and lodging for attendant travel (when necessary) when non-emergency medical transport (NEMT) services are provided.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT