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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 12847 results
Transmittal Number: CA-22-0069
State: California
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 waive any signature requirements for the dispensing of drugs during the COVID-19 Public Health Emergency.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Prescription Drugs
Links:
Transmittal Number: HI-23-0002
State: Hawaii
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 waive any signature requirements for the dispensing of drugs during the Public Health Emergency.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Prescription Drugs
Links:
Transmittal Number: CO-22-0014
State: Colorado
Summary: Establishes coverage of COVID-19 testing consistent with the Centers for Disease Control and Prevention (CDC) definitions of diagnostic and screening testing for COVID-19 and its recommendations for who should receive diagnostic and screening testing for COVID-19.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Reimbursement
Links:
Transmittal Number: HI-22-0007
State: Hawaii
Summary: This SPA attests to the state's coverage of COVID-19 vaccines and vaccine administration, COVID-19 testing, and COVID-19 treatment, as required by sections 1905(a)(4)(E) and 1905(a)(4)(F) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Reimbursement
Links:
Transmittal Number: AL-22-0012
State: Alabama
Summary: The primary purpose for this amendment is to allow the Alabama Medicaid Agency to apply the reimbursement methodology for inpatient and outpatient hospital services for State fiscal year 2023 in a manner consistent with that used in fiscal year 2022.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
Transmittal Number: CO-22-0023
State: Colorado
Summary: As mandated by the American Rescue Plan (ARP), the state submitted ARP template 7.7-C for coverage of COVID-19 Treatment and Prevention.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Reimbursement
Links:
Transmittal Number: WA-22-0034
State: Washington
Summary: This SPA amendment is to disregard all countable resources in determining eligibility for the QMB, SLMB, and QI eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
Transmittal Number: VA-23-0005
State: Virginia
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 waive any signature requirements for the dispensing of drugs during the public health emergency (PHE) from March 13, 2020 through June 30, 2021.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
Transmittal Number: CA-22-0070
State: California
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 extend the COVID-19 Emergency Sick Leave Benefits for In Home Supportive Services (IHSS) providers through December 31, 2022.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
Transmittal Number: GA-23-0001
State: Georgia
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 Waive any signature for the dispensing of drugs during the Public Health Emergency through May 1, 2022.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links: