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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 241 to 250 of 305 results
Transmittal Number: WY-13-0010-MM
State: Wyoming
Summary: Affirms Residency Regulations and Addresses Interstate Agreements and Temporary Absence Protocol.
Approval Date:
Effective Date:
Topics:
  • Eligibility
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Transmittal Number: WY-13-0011
State: Wyoming
Summary: Affirms Citizenship Regulations, Specifies Reasonable Opportunity Options, and Specifies Policy Options Related to Immigrant Eligibility.
Approval Date:
Effective Date:
Topics:
  • Eligibility
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Transmittal Number: NM-13-10
State: New Mexico
Summary: Makes technical changes to reflect its current coverage to opitional targeted low-income children.
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Effective Date:
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Transmittal Number: WY-13-006
State: Wyoming
Summary: Elimination of an income test for individuals for whom public agencies are assuming full or partial financial responsibility and children for whom there is in effect a State adoption assistance agreement.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NM-13-07
State: New Mexico
Summary: This state plan amendment docmnents compliance with provider screening and enrollment provisions under 42 CFR 455, subpart E.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: NM-12-01
State: New Mexico
Summary: Revises the supplemental payments for inpatient hospital services, and to ensure hospitals do not exceed their hospital specific Disproportionate Share Hospital (DSH) limits for the year.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: WY-13-004
State: Wyoming
Summary: Free Standing Birthing Centers.
Approval Date:
Effective Date:
Topics:
  • Health Services Initiatives
  • Program Administration
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Transmittal Number: NM-13-04
State: New Mexico
Summary: This state plan amendment makes technical changes to reflect the income disregards currently in place for the family planning and the optional poverty-level pregnant women and infants groups.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NM-13-02
State: New Mexico
Summary: This state plan amendment updates the fee schedule for physicians and other licensed practitioners as required under Section 1202 of the Health Care and Education Reconciliation Act of 2010.
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Transmittal Number: WY-13-003
State: Wyoming
Summary: Alter payments for Nursing Homes to encompass the authority under the Indian Self-Determination and Education Assistance Act.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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