Non-Institutional Services - Status

2015 SPAs

SPA Number Description Original Submission and Date Approved Submission and Date
SPA 15–02 Health Home Eligibility Criteria for Children Original Submission: April 28, 2015 Approved: March 7, 2016
SPA 15–05 Supplemental Physician Payments – Erie County Medical Center Original Submission: September 30, 2015 Approved: November 18, 2015
SPA 15–09 APG Extension for Hospital OP APGs Original Submission: March 2, 2015 Approved: January 12, 2018
SPA 15–10 APG Extension for Freestanding Clinic APG Original Submission: March 3, 2015 Approved: April 13, 2017
SPA 15–11 Medicaid Cost Sharing Co–Payments Original Submission: December 21, 2015 Approved: Pending
SPA 15–13 ICD–10 – Freestanding Clinics Original Submission: November 24, 2015 Approved: February 16, 2016
SPA 15–15 January 2015 Hospital OP APG Weight Adjustments Original Submission: March 18, 2015 Approved: January 15, 2018
SPA 15–16 January 2015 Freestanding Clinic APG Weight Adjustments Original Submission: March 18, 2015 Approved: November 15, 2017
SPA 15–19 ICD–10–CM (Hospital Outpatient) Original Submission: November 24, 2015 Approved: February 17, 2016
SPA 15–20 Health Home Eligibility Criteria for Children Original Submission: March 21, 2016 Approved: April 14, 2016
SPA 15–23 2015 Outpatient UPL Original Submission: June 22, 2015 Approved: October 31, 2017
SPA 15–25 2015 Clinic UPL Original Submission: June 26, 2015 Withdrawn: December 14, 2016
SPA 15–28 2015 Non-Institional Cost Containment Extenders Original Submission: June 26, 2015 Approved: March 31, 2017
SPA 15–29 2015 CHHA Episodic Payment Extension Original Submission: June 26, 2015 Approved: August 26, 2015
SPA 15–31 Target Group A, E & F (Companion Review Cleanup) Original Submission: June 26, 2015 Approved: September 4, 2015
SPA 15–32 Ambulance Supplemental Payments Original Submission: June 26, 2015 Approved: January 15, 2016
SPA 15–33A 2015 Voluntary UPL Payments Original Submission: See 15–33 Inst Approved: December 28, 2017
SPA 15–35 Sole Community Hospital Rate Method – Outpatient Original Submission: June 30, 2015 Withdrawn: March 27, 2017
SPA 15–38 Cost Sharing Limits for Medicare Part B Crossover Original Submission: September 30, 2015 Approved: December 15, 2015
SPA 15–39 FQHC Trend Offsite Group and Out-Of_State Rates Original Submission: June 26, 2015 Approved: May 20, 2016
SPA 15–44 Eliminate Trend Factor Adjustments – NI Original Submission: June 26, 2015 Approved: August 4, 2017
SPA 15–50 Hospital Quality Pool - Outpatient Original Submission: June 30, 2015 Withdrawn: March 27, 2017
SPA 15–52 Medicaid Transportation Management Original Submission: September 15, 2015 Approved: November 30, 2015
SPA 15–53 July 2015 Hospital OP APG Weight Adjustments Original Submission: September 29, 2015 Approved: Pending
SPA 15–54 July 2015 Freestanding Clinic APG Weight Adjustments Original Submission: September 29, 2015 Approved: Pending
SPA 15–59 2016 DTC APG Capital Cost Update Original Submission: November 24, 2015 Approved: November 28, 2017
SPA 15–62 Safety Net/VAP-Article 31 OMH Freestanding Clinics Original Submission: December 21, 2015 Withdrawn: December 14, 2016

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The proposed State Plan Amendments are not final and are subject to further revisions which may not be reflected on this website prior to final approval and inclusion in the State Plan.