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Medicaid State Plan Amendments

A State Plan is a contract between a state and the Federal Government describing how that state administers its Medicaid program. It gives an assurance that a state abides by Federal rules and may claim Federal matching funds for its Medicaid program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative requirements that States must meet to participate.

States frequently send a state plan amendment, otherwise referred to as a SPA, to the Centers for Medicare and Medicaid Services (CMS) for review and approval. There are many reasons why a state might want to amend their state plan. For example, the state may wish to implement changes required by Federal or state law, Federal or state regulations, or court orders. States also have the flexibility to request permissible program changes, make corrections, or update their plan with new information.

At this time, CMS is not able to provide full copies of each State plan, but is working towards that goal. This page provides every individual state plan amendment approved on or after June 1, 2009.

Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.

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Approval Date State State Full Name SPA Number and Summary Topics details
Approval Date State State Full Name SPA Number and Summary Topics details

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