U.S. Flag

An official website of the United States government

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.

Sort By:
REFINE YOUR SEARCH:
Showing 1 to 10 of 10503 results
Transmittal Number: MA-20-0018
State: Massachusetts
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 update payment Methodologies For Certain Long-Term Services and Support during the COVID-19 Emergency Period as well as expand the provider types that can order, certify and recertify member's home health care plans.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
  • Benefits
Links:
Transmittal Number: NH-20-0020
State: New Hampshire
Summary: Revises the April 2020 nursing home supplemental payment, also known as MQIP, for dates of service in the quarter ending March 31, 2020. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
Transmittal Number: TX-20-0011
State: Texas
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 expand telehealth, extend all prior authorization by automatic renewal without clinical review or time/quantity extensions, and adjust prior authorizations for medications.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Prescription Drugs
Links:
Transmittal Number: WA-20-0028
State: Washington
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 rescind the following parts of Section 7.4 of the existing state plan: 1) Election A.1 to furnish medical assistance to uninsured group under 1902(a)(10)(A)(ii)(XXIII) and 1902(ss) of the Act; and 2) Election of B.1. to allow hospitals to make presumptive eligibility determinations for uninsured individuals described at section 1902(a)(10)(A)(ii)(XXIII) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
Links:
Transmittal Number: CA-16-0001
State: California
Summary: Targeted Case Management Services for All Medicaid Eligible Children
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
Links:
Transmittal Number: CT-20-0018
State: Connecticut
Summary: amends reimbursement for inpatient hospital services for State Fiscal Year (SFY) 2021.
Approval Date:
Effective Date:
Topics:
  • reimbursement
Links:
Transmittal Number: NE-20-0001
State: Nebraska
Summary: updates the nursing facility rate methodology and rates for state fiscal year 2021
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
Transmittal Number: NH-19-0023
State: New Hampshire
Summary: Revises the January 2020 nursing home supplemental payment, also known as MQIP
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
Transmittal Number: NH-19-0012
State: New Hampshire
Summary: revises NH supplemental payment also known as MQIP for October 2019 payment
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
Transmittal Number: SD-20-0008
State: South Dakota
Summary: Implements a 2.0 percent inflationary increase to the Health Home per member per month (PMPM) payment.
Approval Date:
Effective Date:
Topics:
  • Health Homes
Links:
Show entries