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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 9 of 9 results
Transmittal Number: NH-21-0026
State: New Hampshire
Summary: The purpose of SPA #21-0026 is to comply with State Medicaid Director letter #10-021 of October 1, 2010 and to request an exception to the Recovery Audit Contract (RAC) program.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: NH-21-0002
State: New Hampshire
Summary: Effective January 1, 2021, this amendment revises the nursing facility per diem rate budget adjustment factor. 
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
  • Reimbursement
Links:
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Transmittal Number: KS-20-0011
State: Kansas
Summary: This amendment adds "unit” to “transfer” definition and “wing” is changed to “unit” in section 2.5400.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: KS-20-0008
State: Kansas
Summary: Adds "State Institutional Alternative (SIA)" to the Medicaid state plan
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: NH-20-0001
State: New Hampshire
Summary: Increases the optional state supplemental income standards in accordance with § 1618 and 1902(a)(10)(A)(ii)(XI) of the Social Security Act
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
Links:
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Transmittal Number: KS-19-0018
State: Kansas
Summary: Transfer of basic eligibility information into the MACPro system without making any changes to Kansas' current groups.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: NH-19-0009
State: New Hampshire
Summary: continues  suspension of  direct  and  indirect  medical  education  (DME/IME)  payments and catastrophic aid to inpatient hospitals for the biennium ending June 30, 2021.

 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Current State Plan
  • Program Administration
Links:
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Transmittal Number: NH-18-002
State: New Hampshire
Summary: This transmits language to amend the NH Title State Plan to include a 1915(i) section in order to provide home and community-based services to children with serious behavioral health issues through a coordinated model.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: NH-11-009
State: New Hampshire
Summary: This SPA transmitted a proposed revision to New Hampshire's approved Title XIX State Plan in order to remove the 18 visit service limit on physician and advanced registered nurse practitioners (ARNP) to change the psychotherapy service limit from 12 to 18 visits for adults age 21 and over and from 12 to 24 the visits for children under age 21.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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