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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 12566 results
Transmittal Number: SC-22-0012
State: South Carolina
Summary: The purpose of this amendment to the South Carolina Title XIX State Plan is to remove reference to Adult Day Healthcare (ADHC) transportation within a 15-mile radius of ADHC centers.
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  • Program Administration
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Transmittal Number: OH-22-0032
State: Ohio
Summary: To establish coverage and payment provisions for targeted case management for a new target group consisting of children and youth with complex behavioral needs as part of the OhioRISE
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Topics:
  • coverage
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Transmittal Number: AL-22-0010
State: Alabama
Summary: This purpose of this amendment is to seek an exception to 42 CFR 455.502(b), the Medicaid Recovery Audit Contractor (RAC) program.
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  • Program Administration
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Transmittal Number: ND-22-0021
State: North Dakota
Summary: This amendment is to amend the State Plan to update the designee for State Plan submissions.
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  • Program Administration
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Transmittal Number: OH-22-0023
State: Ohio
Summary: This amendment proposes to update the state plan by adding coverage and payment provisions for evaluation and management services provided by chiropractors, as permitted under state law.
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Topics:
  • Coverage and Reimbursement
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Transmittal Number: UT-22-0005
State: Utah
Summary: This amendment proposes to assure the American Rescue Plan Act’s (ARP) mandatory coverage of the COVID-19 vaccine, testing, and treatment without cost sharing.
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Topics:
  • Benefits
  • Reimbursement
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Transmittal Number: NV-22-0013
State: Nevada
Summary: This amendment proposes to assure the American Rescue Plan Act’s (ARP) mandatory coverage of the COVID-19 vaccine, testing, and treatment without cost sharing.
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  • Benefits
  • Reimbursement
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Transmittal Number: CT 22-0031
State: Connecticut
Summary: This amendment is to update Connecticut's medically needy income level, and to confirm certain new income standards and personal needs allowances in its optional state supplement program.
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Topics:
  • Eligibility
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Transmittal Number: KS-23-0001
State: Kansas
Summary: This amendment requests an additional 2-year renewal of the exemption from the Recovery Audit Contractor program, from January 1, 2023 to December 31, 2024.
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Topics:
  • Program Administration
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Transmittal Number: IL-22-0028
State: Illinois
Summary: This amendment proposes to waive any claim against the first $25,000 of an estate as not cost-effective.
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Effective Date:
Topics:
  • coverage
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