When a state wants to change any of the Medicaid benefits it offers, or change the way in which services are provided, it must submit a State Plan Amendment (SPA) to the Centers for Medicare and Medicaid at the Regional Office. Once the CMS Regional Office receives a SPA, it has 90 calendar days to approve or deny the SPA, or send a formal Request for Additional Information (RAI) letter. Sending an RAI stops the 90-day clock. The clock will not start again until CMS receives the state’s written response to the RAI. Another 90-day clock starts at this point and a decision must be made within that timeframe.
Current proposed Nebraska State Plan Amendments:
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