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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: MS-20-0011
State: Mississippi
Summary: This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to waive all cost sharing for all beneficiaries, regardless of the ultimate diagnosis, for testing services and treatments for COVID-19, including vaccines, specialized equipment, and therapies.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Cost Sharing
Links:
Transmittal Number: WI-20-0011
State: Wisconsin
Summary: This time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to increase the cap for supplemental disproportionate hospital share (DHS) payments to qualifying hospital providers.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
Links:
Transmittal Number: NH-19-0016
State: New Hampshire
Summary: Proposes a new reimbursement methodology for the ProShare1 supplemental payment to three (3) specified non-state government owned and operated nursing facilities in New Hampshire
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
Transmittal Number: CT-20-0016
State: Connecticut
Summary: Makes technical corrections to recently approved state plan amendment TN 19-0017 (inpatient hospital supplemental payments)
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
Transmittal Number: LA-20-0006
State: Louisiana
Summary: This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to cover the new optional group for COVID testing, and remove language that requires Pediatric Day Healthcare Center (PDHC) closure in order for families to receive services in a residential setting.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
  • Benefits
Links:
Transmittal Number: MA-20-0004
State: Massachusetts
Summary: Updates the payment methods used to determine rates of payment for Freestanding Birth Center Services
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
Transmittal Number: TX-20-0007
State: Texas
Summary: Updates the durable medical equipment, prosthetics, orthotics, and supplies fee schedules.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
Transmittal Number: VT-20-0002
State: Vermont
Summary: Increases the monthly long-term care personal needs allowance by $25.00 per individual.
Approval Date:
Effective Date:
Topics:
  • Long-term Services & Support
Links:
Transmittal Number: MN-20-0007
State: Minnesota
Summary: This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is allow required home visits to be conducted remotely using telephonic or other electronic means for qualified professionals (QPs) supervising persons who receive PCA Choice services.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
Transmittal Number: KS-20-0008
State: Kansas
Summary: Adds "State Institutional Alternative (SIA)" to the Medicaid state plan
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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