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Medicaid State Plan Amendments

A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its 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 activities that are underway in the state.

When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.

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

Search the Text of Medicaid State Plan Amendments
Showing 1 to 10 of 13778 results
Transmittal Number: NY-23-0067
State: New York
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to extends ARPA Initiative regarding PDN_C19 Test and Specimen Collection.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • coverage
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Transmittal Number: OR-23-0025
State: Oregon
Summary: This amendment is to add additional providers into the other licensed providers section of the state plan.
Approval Date:
Effective Date:
Topics:
  • Other Licensed Practitioners
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Transmittal Number: NY-21-0048
State: New York
Summary: This amendment proposes to establish two eligible pediatric residential health care facilities to improve the quality of care for young adults with medical fragility.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
Transmittal Number: VA-21-0017
State: Virginia
Summary: This amendment allows payment of medical assistance services delivered to Medicaid-eligible students when such services qualify for reimbursement by the Virginia Medicaid program and may be provided by school divisions, regardless of whether the student receiving care has an individualized education program or whether the health care service is included in a student's individualized education program. In addition, the state included new transportation and personal care service language.
Approval Date:
Effective Date:
Topics:
  • coverage
  • Reimbursement
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Transmittal Number: MA-23-0036
State: Massachusetts
Summary: This amendment proposes supplemental payments for certain acute hospitals (e.g., a disaster-struck community hospital) or to enhance access to certain types of acute hospital services (e.g., pediatric services; enhanced psychiatric services in the ED).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: AZ-23-0010
State: Arizona
Summary: Updates the fee-for-service (FFS) rate methodology for alcohol and/or drug services, intensive outpatient.
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Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: NY-23-0084
State: New York
Summary: 4% COLA Adjustment for CPEP EOB Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: SC-23-0011
State: South Carolina
Summary: Establish reimbursement methodology for technical component/facility charges for Pediatric Inpatient Rehabilitation.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
Transmittal Number: WA-23-0043
State: Washington
Summary: Nursing facility rate update
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Effective Date:
Topics:
  • Reimbursement
Links:
Transmittal Number: MA-23-0039
State: Massachusetts
Summary: This plan amendment updates the methods and standards used to determine rates of payment to community health centers.
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Effective Date:
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