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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 116 results
Transmittal Number: MN-23-0027
State: Minnesota
Summary: This amendment reflects a change by the 2023 Minnesota Legislature to the qualifications for the Integration Specialist in a mental health setting. The requirement is changed from a registered nurse to a licensed nurse, which permits the position to be filled by a registered nurse, licensed practical nurse, or an advanced practice nurse.
Approval Date:
Effective Date:
Topics:
  • Health Homes
Links:
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Transmittal Number: MN-22-0036
State: Minnesota
Summary: This SPA adds conforming updates in state law, including commissioner authority to grant variance of behavioral health home service provider requirements; clarification of provider requirements and expectations; corrects the list of qualified positions for a Qualified Health Home Specialist, and adds requirement for Behavioral Health Home (BHH) providers to notify the contact designated by an enrollee’s managed care plan within 30 days of the start of BHH services.
Approval Date:
Effective Date:
Topics:
  • Managed Care
  • Health Homes
Links:
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Transmittal Number: MN-22-0002
State: Minnesota
Summary: Increases payment rates for dental services (excluding state-operated dental clinics, federally qualified health centers, rural health centers, the Indian Health Service, and tribal 638 facilities).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
  • Program Administration
Links:
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Transmittal Number: MN-21-0027
State: Minnesota
Summary: Provides requirements for Non-Emergency Medical Transportation (NEMT).
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MN-21-0005
State: Minnesota
Summary: Made revisions to the Health Home provider section and Health Home services section of the Minnesota State Plan.
Approval Date:
Effective Date:
Topics:
  • Health Homes
Links:
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Transmittal Number: MN-20-0020
State: Minnesota
Summary: Authorizes the department to establish provider specific rates for services provided by Psychiatric Residential Treatment Facilities (PRTFs).  The amendment also removes outdated language
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
Links:
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Transmittal Number: MN-20-0012
State: Minnesota
Summary: State is modifying the definition of qualified professional in the section for 1915(i) housing stabilization services
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MN-20-0014-A
State: Minnesota
Summary: Mental health crisis and withdrawal management services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MN-20-0009
State: Minnesota
Summary: Allows required home visits to be conducted remotely for PCA Supervisors.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MN-19-0009
State: Minnesota
Summary: Reinstates the Recovery Audit Contractor (RAC) Program
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
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