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2010 Approved State Plan Amendments (SPA)

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The following attachments are amendments to the California State Plan that were recently approved by the Centers for Medicare and Medicaid Services (CMS).  Stakeholders can update their copies by following the links and instructions attached to the documents. 

NOTE:  Links on this page are documents in Adobe Acrobat Document Format (PDF); unless indicated are smaller than 2MB.  PDF documents require Adobe Reader.  If you need to install or upgrade to the latest version see the "Download Free Readers" link at the bottom of the page.

10-001     Deemed Infant Eligibility (PDF, Approved on 9/13/2010)
10-004     Medicare Savings Programs - MSPs  (PDF, Approved on 3/21/2011)
10-006     Removed Attachment 3.1-F - Mandatory Managed Care Enrollment (PDF, Approved on 1/28/2011)
10-007     PARIS - Income Verification (PDF, Approved on 2/15/2011)
10-008a   Targeted Case Management - Children Under the Age of 21 (PDF, Approved on 9/9/2011)
10-008b   Targeted Case Management - Medically Fragile Individuals (PDF, Approved on 9/9/2011)​​​
10-008c   Targeted Case Management - Individuals at Risk of Institutionalization (PDF, Approved on 9/9/2011)

10-008d   Targeted Case Management - Individuals in Jeopardy of Negative Health or Psycho-Social Outcomes (PDF, Approved on 9/9/2011)

​10-008e   Targeted Case Management - Individuals with a Communicable Disease (PDF, Approved on 9/9/2011)
10-009     Medicare Cost Sharing for Referenced Dual Eligibles, Age 55 and Over (PDF, Approved on 2/4/2011)
10-010     Reimbursement Methodology for Targeted Case Management Services (PDF, Approved on 12/19/2013)
10-012A  Targeted Case Management for the Developmentally Disabled Target Group (PDF, Approved on 12/20/2010)
10-012B  Targeted Case Management for the Mentally Disabled Target Group (PDF, Approved on 12/20/20​​​10)
10-014     State Eligibility Option for Family Planning Services (PDF, Approved on 3/24/2011)
10-015     Freestanding Skilled Nursing Facilities Reimbursement Rate (PDF, Approved on 10/27/2011)
10-016     Rehabilitative Mental Health Services and Psychiatric Inpatient Hospital Services (PDF, Approved 3/21/2011)
10-018     Tribal Consultation Requirements (PDF, Approved on 3/16/2011)
10-019     Recovery Audit Contractors (PDF, Approved on 2/18/2011)
10-020     Medi-Cal Reimbursement Methodology for Radiology Services (Approved on 09/29/2014)
10-024     Implement 5% Reduction in Fee-For-Service Payments to Pharmacies for Medi-Cal Drug Products (PDF, Approved on 10/27/2011)​​     
10-026     Intergovernmental Transfers for Payments to Specified Hospitals (PDF, Approved on 10/20/2011)
 


 

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Last modified date: 3/23/2021 3:34 AM