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 20-0001: Inpatient Hospital Reimbursement posted on November 25, 2019.
SPA 20-0002: Outpatient Hospital Reimbursement” posted on November 25, 2019.
SPA 20-A: Physician and Psychologist Services – HIPAA Compliance Billing Code and Reimbursement Updates posted on December 31, 2019.
SPA 20-B: Clinics – HIPAA Compliance Billing Code and Reimbursement Updates posted on December 31, 2019.
SPA 20-C: Independent Radiology and Independent Laboratory – HIPAA Compliance Billing Code Update posted on December 31, 2019.
SPA 20-D: Dental Services – HIPAA Compliance Billing Code Update posted on December 31, 2019.
SPA 20-E: Audiology and Speech & Language Pathology, Physical and Occupational Therapies – HIPAA Compliance Billing Code and Reimbursement Update posted on December 31, 2019.
SPA 20-I: PCMH+ Updates, posted on January 2, 2020.
SPA 20-J: Publicly Operated Nursing Facility Reimbursement, posted on December 31, 2019.
SPA 20-K - CHESS Initiative – Section 1915(i) State Plan HCBS, posted on January 7, 2020
SPA 20-L: Update to Alternative Benefit Plan (ABP) for the Medicaid Coverage Group for Low-Income Adults to Add CHESS Initiative Section 1915(i) State Plan HCBS”, posted on January 7, 2020
SPA 20-M: Medical Equipment Devices and Supplies (MEDS) Fee Schedule Update and Revised Payment Methodology for Repairs posted on February 18, 2020.
SPA 20-0012: Updates to the Physician Office and Outpatient Fee Schedule (formerly SPA 20-N) posted on Tuesday, February 18, 2020.
SPA 20-0013: Clinics – Updates to Medical Clinic and Family Planning Clinic Fee Schedules (formerly SPA 20-O) posted on February 18, 2020.
CHESS Initiative – Section 1915b4 Qualified Provider Waiver, posted on January 7, 2020
*Note: Website notices will be archived every quarter of the year. All notices are placed in the corresponding archive folder determined by the posting date.