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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: ID-19-0023
State: Idaho
Summary: Add 1915(I) State Plan Option for reimbursement of state plan substance use disorder services delivered in an IMD setting.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Current State Plan
Links:
Transmittal Number: AL-20-0005
State: Alabama
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purposes of this amendment is to remove the requirement for Prior Authorizations for service destinations and non-emergency services for ambulances during the COVID-19 emergency.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
Transmittal Number: WY-20-0003
State: Wyoming
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purposes of this amendment is to suspend premiums for the Employed Individuals with Disabilities program eligibility group.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Premiums
Links:
Transmittal Number: MN-20-0002
State: Minnesota
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. In this amendment Minnesota elects to (1) waive cost sharing for COVID-19 testing and treatment, (2) suspend disenrollment due to failure to pay premiums for working disabled BBA group, (3) expand telehealth, and (4) to allow for 90-day refills without prior authorization for certain maintenance drugs.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Cost Sharing
  • Benefits
  • Prescription Drugs
Links:
Transmittal Number: AL-20-0004
State: Alabama
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. In this amendment Alabama elects to suspend Medicaid copayments for all services for all Medicaid beneficiaries during the time of the Public Health emergency and to utilize telehealth for some Medicaid services.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Cost Sharing
Links:
Transmittal Number: NM-20-0012
State: New Mexico
Summary: Fee schedule price changes
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
Transmittal Number: VA-20-0009
State: Virginia
Summary: proposes to not charge cost sharing (deductibles, co-insurance or co-payments) to individuals covered under Medicaid
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
Transmittal Number: AZ-20-0001
State: Arizona
Summary: In this time-limited state plan to respond to the COVID-19 national emergency, AZ has elected to temporarily: Expand eligibility to cover COVID-19 testing for uninsured individuals; Streamline enrollment for children whose family income changes during the disaster period; Suspend all cost sharing and premiums; and Expand access to covered outpatient drugs through adjustments to prior authorization and exceptions to the preferred drug list in the event of a drug shortage.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Eligibility
  • Prescription Drugs
  • Cost Sharing
  • Outreach & Enrollment
Links:
Transmittal Number: OH-20-0004
State: Ohio
Summary: This Ohio SPA complies with applicable reimbursement methodology requirements
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
Transmittal Number: WA-20-0005
State: Washington
Summary: updates the fee schedule effective dates for several Medicaid programs and services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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