2011 Approved State Plan Amendments (SPA)
Back to Approved State Plan Amendments by Year
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.
- 11-001 State Eligibility Determinations (PDF, Approved on 6/20/2011)
- 11-002 KinGAP (PDF, Approved on June 2, 2011)
- 11-003 Covered Outpatient Drugs for the Categorically Needy
- 11-004 Third Party Liability - Threshold Amount Increase (PDF, Approved on 10/20/2011)
- 11-005 Disproportionate Share Hospital (DSH) audit and Reporting Requirements for SP rate year 2011 (PDF, Approved on 9/21/2011)
- 11-006 Supplemental Reimbursement for Hospital Inpatient Services (PDF, Approved on 5/18/2011)
- 11-007 Supplemental Reimbursement for Hospital Outpatient Services (PDF, Approved on 5/18/2011)
- 11-009 Ten Percent Payment Reduction for Medi-Cal Outpatient Services (PDF, Approved on 10/27/2011)
- 11-010 Reduced Payment Rates As Mandated By Assembly Bill 97 (PDF, Approved on 10/27/2011)
- 11-010B Reduced Payment Rates As Mandated By Assembly Bill 97 (PDF, Approved on 2/27/2013)
- 11-011 Freestanding Skilled Nursing Facilities Reimbursement Rates (PDF, Approved on 10/27/2011)
- 11-011A Freestanding Skilled Nursing Facilities Reimbursement Rates (PDF, Approved on 04/25/2013)
- 11-012 Hearing Aid Benefit Cap (PDF, Approved on 9/12/2011)
- 11-014 Elimination of Adult Day Health Care (PDF, Approved on 7/1/2011)
- 11-016 250% Working Disabled Program (PDF, Approved on 9/9/2011)
- 11-017 Optometrist as Eligible Provider (PDF, Approved on 1/23/2013)
- 11-018 Physician Administered Drug Reimbursement Methodology (PDF, Approved on 6/26/2012)
- 11-019 Expand Coverage of Nurse Practitioner Services (PDF, Approved on 10/13/2011)
- 11-020 Adult Day Associated Transportation - technical changes only (PDF, Approved on 6/22/2011)
- 11-021 Prohibition of Payment Outside of the United States (PDF, Approved on 8/25/2011)
- 11-022 Alternative Birth Center and Professional Services (PDF, Approved on 10/12/2012)
- 11-023 Amendments to Psychiatric Services for Beneficiaries Under 21 Year (PDF, Approved on 12/19/2011)
- 11-024 Supplemental Reimbursement for Hospital Inpatient Services (PDF, Approved on 6/22/2012)
- 11-025 Supplemental Reimbursement for Hospital Outpatient Services (PDF, Approved on 6/22/2012)
- 11-026 Amended Effective Date of Elimination of Adult Day Health Care (PDF, Approved on 7/21/2011)
- 11-030 Prescription of Durable Medical Equipment By Physicians to Beneficiaries Receiving Home Health Services & Hearing Aid Cap (PDF-Approved on 7/23/2014)
- 11-032 Recovery Audit Contractor (RAC): Exception for an Implementation Delay (PDF, Approved on 12/22/2012)
- 11-034 Community First Choice Option (PDF, Approved on 8/31/2012)
- 11-035 Elimination of Adult Day Health Care Effective Date Amended Pursuant to SPA 11-014 and 11-026 (PDF, Approved on 11/30/2011)
- 11-037a Elimination of Adult Day Health Care Effective Date Amended Pursuant to SPAs 11-014, 11-026 &11-035 (PDF, Approved 2/22/12)
- 11-037b Chronic Dialysis Services and Outpatient Heroin Detoxification Services (PDF, Approved on September 20, 2012)
- 11-039 Extending the 10 Percent Provider Payment Reduction End-Date For Adult-Day Health Care Services
- 11-040 Infant Development Program For Infants and Toddlers (PDF)
- 11-041 Additional Services Under 1915 (i), Person With Developmental Disabilities (PDF, Approved on 02/19/2014)
