1.1A
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Designation and Authority
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07.31.2020
|
1.2A
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Organization and Administration - Single State Agency
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07.31.2020
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1.2B
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Organization and Administration - Organizational Chart
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07.31.2020
|
1.2C
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Organization and Administration - Professional and Medical Supporting Staff
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07.31.2020
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1.2D
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Organization and Administration - Central Processing Unit
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07.31.2020
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2.1A
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Definition of Medicaid Health Maintenance Organizations
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07.31.2020
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2.1B
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HMOs - Quality Control and Utilization Review
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07.31.2020
|
2.2A
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Groups Covered and Agencies Responsible for Eligibility Determinations
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07.31.2020
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2.2A S1
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Reasonable Classification of Individuals Under the Age of 21, 20, 19, and 18
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07.31.2020
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2.2A S2
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More Restrictive Categorical Eligibility Criteria
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07.31.2020
|
2.6A
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Eligibility Conditions and Requirements
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07.31.2020
|
2.6A S1
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Income Eligibility Levels
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07.31.2020
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2.6A S2
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Categorically Need Groups With Incomes Related to FPL
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07.31.2020
|
2.6A S3
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Limits on Amounts for Necessary Care Not Covered Under Medicaid
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07.31.2020
|
2.6A S5
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More Restrictive Methods of Treating Resources Than SSI Program
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07.31.2020
|
2.6A S6
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Standards for Optional State Supplementary Payments
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07.31.2020
|
2.6A S7
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Categorically Needs Covered Under Requirements More Restrictive than SSI
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07.31.2020
|
2.6A S8
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Resource Standards, More Liberal Income Disregards, More Liberal Methods of Treating Resources
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07.31.2020
|
2.6A S9
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Transfer of Resources
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07.31.2020
|
2.6A S10
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Consideration of Medicaid Qualifying Trust
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07.31.2020
|
2.6A S11
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Cost Effectiveness Methodology for COBRA Continuation
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07.31.2020
|
2.6A S12
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Variations from the Basic Personal Needs Allowance
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07.31.2020
|
2.6A S13
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Institutionalized Spouse
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07.31.2020
|
2.6A S14
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Eligibility Under Section 1931 of the Act
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07.31.2020
|
2.6A S16
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Asset Verification System
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07.31.2020
|
2.6A S18
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Adjustments to Newly Eligible Adult Population
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07.31.2020
|
2.6B
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Standards for Optional State Supplementary Payments
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07.31.2020
|
2.8A
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Requirements for Advance Directives
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07.31.2020
|
3.1A
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Amount, Duration, and Scope - Categorically Needy
|
04.07.2022
|
3.1A S7
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Medication Assisted Treatment
|
10.14.2021
|
3.1A&B S1
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Amount, Duration, and Scope - Categorically and Medically Needy
|
09.25.2023
|
3.1A&B S2
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Case Management Services
|
05.16.2022
|
3.1A&B S3
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Requirements and Limits - Expanded Prenatal Care Services
|
07.31.2020
|
3.1A&B S5
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Drugs or Drug Categories - Not Covered
|
07.31.2020
|
3.1A&B S6
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Program of All-Inclusive Care for the Elderly
|
04.27.2023
|
3.1B
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Amount, Duration, and Scope - Medically Needy
|
04.07.2022
|
3.1B S1
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Medication Assisted Treatment
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10.14.2021
|
3.1C
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Standards Established and Methods Used to Assure High Quality
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12.14.2021
|
3.1C S1
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Nursing Facility Critera
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07.31.2020
|
3.1D
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Methods of Providing Transportation
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03.07.2022
|
3.1E
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Standards for the Coverage of Transplant Services
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07.31.2020
|
3.1F
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Commonwealth Coordinated Care
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07.31.2020
|
3.2A
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Coordination of Title XIX with Part A and B of Title XVIII
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07.31.2020
|
4.03A
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Confidentiality and Disclosure of Information - Medicaid Applicants
|
07.31.2020
|
4.11A
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Standards - General & Special Hospitals, Convalescent & Nursing Homes
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07.31.2020
|
4.14G
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Nursing Facility Resident Drug Utilization Review
|
07.31.2020
|
4.16A
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Cooperation with State Vocational Rehab Agency and Title V Agencies
|
07.31.2020
|
4.17A
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Lien Recoveries
|
07.31.2020
|
4.17C
|
Estate Recoveries
|
07.31.2020
|
4.18A
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Cost Sharing - Categorically Needy & QMB
|
07.31.2020
|
4.18C
|
Cost Sharing - Medically Needy & QMB
|
07.31.2020
|
4.19A
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Payment Rates - Inpatient Care - General
|
12.06.2022
|
4.19A S2
|
Payment Rates - Inpatient Care - Dispute Resolution for State-Operated Providers
|
07.31.2020
|
4.19A S3
|
Payment Rates - Inpatient Care - Per-Diem Methodology
|
07.31.2020
|
4.19A S4
|
Payment Rates - Inpatient Care - Outlier Payment Methodology
|
07.31.2020
|
4.19B
|
Payment Rates - Other Types of Care - General
|
09.25.2023
|
4.19B S2
|
Payment Rates - Other Types of Care - Medicare Part A & B Deductible-Coinsurance
|
07.31.2020
|
4.19B S3
|
Payment Rates - Other Types of Care - Establishment of Rate Per Visit - Part 1
|
07.31.2020
|
4.19B S4
|
Payment Rates - Other Types of Care - Establishment of Rate Per Visit - Part 2
|
03.13.2023
|
4.19B S5
|
Payment Rates - Other Types of Care - Prospective Reimbursement for Rehab Agencies or CORFs
|
07.31.2020
|
4.19B S6
|
Payment Rates - Other Types of Care - Medicare Equivalent of Average Commercial Rate
|
07.31.2020
|
4.19B S7
|
Payment Rates - Other Types of Care - Primary Care Service Payment
|
07.31.2020
|
4.19C
|
Reserving Beds During an Absence from an Inpatient Facility
|
07.31.2020
|
4.19D
|
Establishing Payment Rates for Long-Term Care - Part 1
|
07.31.2020
|
4.19D S1
|
Establishing Payment Rates for Long-Term Care - Part 2
|
12.06.2022
|
4.19E
|
Definition of a Claim by Service
|
07.31.2020
|
4.22A
|
Third Party Liability - Identifying Liable Resources
|
07.31.2020
|
4.22B
|
Third Party Liability - Payment of Claims
|
07.26.2022
|
4.22C
|
Health Insurance Premium Payment for Kids Program
|
07.31.2020
|
4.30
|
Sanctions for Psychiatric Hospitals, MCOs, PCCMs
|
07.31.2020
|
4.32A
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System Procedure Requests to Other State Agencies
|
07.31.2020
|
4.33A
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Issuance of Medicaid Cards to Homeless Individuals
|
07.31.2020
|
4.34A
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Requirements for Advance Directives
|
07.31.2020
|
4.35A-K
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Enforcement of Compliance for Nursing Facilities
|
07.31.2020
|
4.39
|
Definition of Specialized Services
|
07.31.2020
|
4.39A
|
Categorical Determinations
|
07.31.2020
|
4.40A-E
|
Surveys by Department of Health
|
07.31.2020
|
4.42A
|
Enforcement of False Claims Recovery Act
|
07.31.2020
|
7.2A
|
Methods of Administration - Civil Rights
|
07.31.2020
|
7.5
|
Provider Appeals
|
07.31.2020
|
|
CMS Electronic State Plan Sections - Eligibility and Enrollment
|
01.09.2023
|
Appendix 1
|
Nursing Home Payment System Appendix 1
|
07.31.2020
|
Appendix 2
|
Nursing Home Payment System Appendix 2
|
07.31.2020
|
Appendix 3
|
Nursing Home Payment System Appendix 3
|
07.31.2020
|
Appendix 4
|
Nursing Home Payment System Appendix 4
|
07.31.2020
|
Appendix 5
|
Nursing Home Payment System Appendix 5
|
07.31.2020
|
Appendix 6
|
Nursing Home Payment System Appendix 6
|
07.31.2020
|
Appendix 7
|
Nursing Home Payment System Appendix 7
|
07.31.2020
|
|
Preprint Pages from Front of State Plan
|
08.29.2022
|
S10
|
MAGI-Based Income Methodologies
|
12.13.2013
|
S59
|
Individuals Eligible for Family Planning Services
|
04.01.2015
|
S88
|
Non-Financial Eligibility - State Residency
|
12.19.2013
|
7.4
|
Medicaid Disaster Relief for the COVID-19 National Emergency
|
06.03.2022
|
3.1L 2
|
Alternative Benefit Plan - Adult Expansion Group
|
04.21.2022
|
3.1L 3
|
Alternative Benefit Plan - Medicaid Works
|
04.21.2022
|
7.7A
|
COVID Vaccines, Testing, and Treatment
|
11.30.2022
|