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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.

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Transmittal Number: MN-20-0023
State: Minnesota
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. This SPA modifies the criteria for ambulance transportation between two hospitals.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
Transmittal Number: CA-16-0027
State: California
Summary: Restores acupuncture as a covered service under the Alternative Benefit Plan (ABP).
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: IN-20-0019
State: Indiana
Summary: Optometric services delivered via Telemedicine
Approval Date:
Effective Date:
Topics:
  • Delivery System
  • Program Administration
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Transmittal Number: NJ-20-0019
State: New Jersey
Summary: SFY 2021 GME Distribution Methodology
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NJ-20-0020
State: New Jersey
Summary: Continues Graduate Medical Education (GME) Supplemental Subsidy payments made on behalf of individuals enrolled in the New Jersey CW Demonstration.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: MO-20-0022
State: Missouri
Summary: expand the services for which licensed pharmacists are allowed to bill MO HealthNet to include all services within their professional scope of practice.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
Links:
Transmittal Number: AZ-20-0021
State: Arizona
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to permit pharmacists to order and administer vaccines, including the COVID-19 and influenza vaccines. The amendment also permits pharmacy technicians and pharmacy interns to administer the COVID-19 and influenza vaccines under the supervision of an immunizing pharmacist.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
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Transmittal Number: WA-20-0037
State: Washington
Summary: Payments will be increased to one hundred fifty percent (150%) of the hospital’s fee-for-service rate for state and Federal medical assistance programs for services provided by qualifying hospitals. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: HI-20-0003
State: Hawaii
Summary: Updates the fee schedule methodology for EPSDT, Home Pharmacy Services, Medical Supplies, and Dental services in response to a Companion Letter issued by CMS with the approval of SPA 19-0005
Approval Date:
Effective Date:
Topics:
  • Health Homes
  • Dental
  • Financing & Reimbursement
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Transmittal Number: LA-20-0017
State: Louisiana
Summary: Increases all inpatient hospital rates paid to inpatient hospitals by 3.2 percent of those on file as of December 31, 2020
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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