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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 261 results
Transmittal Number: ID-25-0003
State: Idaho
Summary: The amendment is to update Core Set Reporting assurance language.
Approval Date:
Effective Date:
Topics:
  • Health Homes
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: ID-24-0004
State: Idaho
Summary: This plan amendment updates fee schedules language for service rehabilitation benefits section to comply with federal requirements and updates outdated language.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MP-24-0004
State: Northern Mariana Islands
Summary: This amendment adds additional off-island transportation coverage and assurances for Non-Emergency Medical Transportation program, within Attachment 3.1-A and Attachment 3.1-D of the State Plan. In addition, the amendment adds the corresponding reimbursement methodologies.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
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Transmittal Number: ID-23-0015
State: Idaho
Summary: The Amendment adopts the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, Pub. L. No. 115-217, section 1002.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ID-25-0001
State: Idaho
Summary: This SPA provides Idaho with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: ID-23-0014
State: Idaho
Summary: This plan amendment creates a reimbursement methodology for supplemental payment for ground emergency medical transportation services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: GU-24-0002
State: Guam
Summary: This SPA is to update state plan assurances in accordance with the federally mandated requirements for the Child Core Set and the behavioral health quality measure on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: ID-21-0002
State: Idaho
Summary: This plan amendment modifies the reimbursement for the Primary Care Case Management Program and aligns it with the Healthy Connections Value Care Program.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MP-24-0003
State: Northern Mariana Islands
Summary: This plan amendment increased the reimbursement rates for Durable Medical Equipment (DME).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ID-24-0002
State: Idaho
Summary: This amendment revises Idaho’s Basic Alternative Benefit Plan to add the following services: Assertive Community Treatment, Parenting With Love and Limits, and Inpatient Psychiatric Services for Individuals Under Age 21 in Psychiatric Facilities or Programs.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT