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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 91 to 100 of 419 results
Transmittal Number: NM-22-0007
State: New Mexico
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to increase payment rates to providers of personal care services (PCS) and private duty nursing (PDN) under the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: VA-22-0003
State: Virginia
Summary: This amendment proposes changes to Virginia's Addiction Recovery Treatment Services.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: VA-22-0002
State: Virginia
Summary: This amendment will allow Virginia to add an attestation that the Department of Medical Assistance Services (DMAS) meets all the minimum requirements for Non-Emergency Medical Transportation (NEMT) providers and individual drivers.
Approval Date:
Effective Date:
Topics:
  • Transportation
Links:
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Transmittal Number: NM-22-0005
State: New Mexico
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to implement targeted access supplemental payments for Safety-Net Care Pool (SNCP) hospitals.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: NM-22-0001
State: New Mexico
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to increase payment rates for non-emergency transportation (NEMT) providers.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NM-22-0002
State: New Mexico
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to increase payment rates for short term skilled and custodial nursing facility services.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: NM-22-0003
State: New Mexico
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to increase payment rates for in-patient hospital services.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: NM-21-0014
State: New Mexico
Summary: Attests that all minimum requirements outlined in Section 1902(a)(87) of the Social Security Act are met.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NM-21-0012
State: New Mexico
Summary: Implement updates to third party liability in order to comply with changes required

in the Bipartisan Budget Act (BBA) of 2018 and the Medicaid Services Investment and Accountability Act (MSIAA) of 2019.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NM-21-0006
State: New Mexico
Summary: Targeted Access Payments
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT