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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 31 results
Transmittal Number: AR-23-0005
State: Arkansas
Summary: Attestation of coverage of COVID-19 vaccines, testing and treatment without cost limitations
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: AR-23-0013
State: Arkansas
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to extend behavioral health physician screenings.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
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Transmittal Number: AR-23-0004
State: Arkansas
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to provide standardized emotional/behavioral screening to Medicaid clients.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
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Transmittal Number: AR-23-0009
State: Arkansas
Summary: The purpose of this amendment is to provide the required clinical trials attestation.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: AR-23-0008
State: Arkansas
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to adjust Behavioral Health Counseling for one year after the end of PHE.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-22-9924
State: Arkansas
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to rescind the reimbursement and coverage for swing beds in Critical Access Hospitals in AR-20-0024.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
  • Benefits
Links:
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Transmittal Number: AR-22-0016
State: Arkansas
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to implement a desk review to help determine PASSE tier level assignment for clients until the end of the COVID PHE. The changes in this SPA pertain to a 1915 benefit that operates with a concurrent managed care authority.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Home and community based services
Links:
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Transmittal Number: AR-22-0002
State: Arkansas
Summary: Removes non-emergency ambulance services from the exceptions to the emergency medical transportation payments.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
Links:
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Transmittal Number: AR-21-0017
State: Arkansas
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 authorize licensed nurses employed by home health agencies to administer COVID-19 vaccinations for individuals who: Have difficulty leaving the home to get the vaccine, or Are hard-to-reach due to specific reasons, and face challenges getting vaccinated.

 
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AK-21-0007
State: Arkansas
Summary: Proposes to move currently approved in-home peritoneal dialyses services from the clinic benefit to the home health and other licensed provider benefit without a change in reimbursement
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT