Medicaid State Plan Amendments

Overview

Current State Plan Amendments submitted to the Centers for Medicare & Medicaid Services (CMS) within the U.S. Department of Health and Human Services (HHS).

SPA 18-A: Changes to Non-Emergency Medical Transportation (NEMT) Program (posted December 29, 2017)

SPA 18-O: Clarification of Description of Payment Methodology for Disproportionate Share Hospital (DSH) Payments (posted December 22, 2017)

SPA 18-A: Changes to Non-Emergency Medical Transportation (NEMT) Program (posted December 22, 2017)

SPA 17-AG: Increase to Enhanced Primary Care Provider Payments (posted November 27, 2017)

SPA 18-0001: Inpatient Hospital Payments – Rate Increase and Mid-Sized Hospital Supplemental Payments (posted November 27, 2017)

SPA 18-0002: Outpatient Hospital Payments – Rate Increase and Supplemental Payments (posted November 27, 2017)

SPA 17-0029 - Adding Therapy Codes to Home Health Fee Schedule (posted September 12, 2017)

SPA 17- AE - Adjustment to Reimbursement Rate for Modifier-TG (posted September 12, 2017)

SPA 18-B: Physician Reimbursement – HIPAA Update, PCMH Program Updates, and Physician Radiology Update (posted December 21, 2017)

SPA 18-C: Audiology and Speech & Language Pathology, Physical and Occupational Therapies – HIPAA Billing Code and Reimbursement Update (posted December 21, 2017)

SPA 18-D: Independent Radiology and Independent Laboratory – HIPAA Billing Code and Reimbursement Update (posted December 21, 2017)

SPA 18-E: Dialysis, Family Planning, Medical, and Rehabilitation Clinics – HIPAA Billing Code and Reimbursement Update (posted December 21, 2017)

SPA 18-H: Dental Services for Adults – Annual Financial Coverage Limit (posted December 21, 2017)

SPA 18-I: HIPAA Billing Code and Reimbursement Update – Dental Services (posted December 21, 2017)

SPA 18-L: Reductions and Adjustments to Payment for Durable Medical Equipment (DME) to Remain Compliant with Federal Law (posted December 21, 2017)

SPA 18-P: Ambulatory Surgical Center Services – HIPAA Billing Code and Reimbursement Update (posted December 21, 2017)

SPA 18-J: Person-Centered Medical Home Plus (PCMH+) Program Wave 2 (posted December 22, 2017)

SPA 18-N: Private Psychiatric Hospital Pay-for-Performance Program for Services Provided to Children (posted December 22, 2017)

SPA 18-Q: ABP Update (posted December 22, 2017)