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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 12324 results
Transmittal Number: AR-22-0016
State: Arkansas
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 implement a desk review to help determine PASSE tier level assignment for clients until the end of the COVID PHE. The changes in this SPA pertain to a 1915 benefit that operates with a concurrent managed care authority.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Home and community based services
Links:
Transmittal Number: KS-22-0008
State: Kansas
Summary: This SPA is adding mandatory benefits regarding coverage of COVID-19 vaccines, testing, and treatments to the Medicaid State Plan. The state submitted the completed ARP preprints for COVID Vaccines, Testing, and Treatment.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
Transmittal Number: SD-22-0007
State: South Dakota
Summary: The SPA amends the preventative services benefit to allow dentists to also order community health worker services, clarifies what services are considered non-covered, and updates the community health worker ce1iification criteria.
Approval Date:
Effective Date:
Topics:
  • coverage
Links:
Transmittal Number: WA-22-0017
State: Washington
Summary: This SPA is to amend Washington’s 1915(k) Community First Choice, Home and Community Based Services (HCBS) State Plan Program.
Approval Date:
Effective Date:
Topics:
  • Long-term Services & Support
Links:
Transmittal Number: IA-22-0008
State: Iowa
Summary: This amendment proposes language change to Iowa’s Third Party Liability Payment Claims section 1B and 1C.
Approval Date:
Effective Date:
Topics:
  • Third Party Liability
Links:
Transmittal Number: MP-22-0002
State: Northern Mariana Islands
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 authorize a temporary income disregard of $1000 monthly income in excess of 180% of the SSI Federal Benefit Rate (FBR) for individuals to whom a spenddown applies.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
Links:
Transmittal Number: AR-22-0015
State: Arkansas
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 increase the per-day rate for the Therapeutic Communities service.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
Transmittal Number: FL-22-0007
State: Florida
Summary: Updates the inpatient hospital reimbursement methodology for Indirect Graduate Medical Education (IME) payments to specify calculation of annual IME payments based on the most recently filed and available cost reports. The amendment also adds inpatient state directed payment arrangements allowed under 42 CFR 438.6(c) approved pre-prints and made through managed care plans (“Inpatient DRG Enhanced Rate”) to the calculation of annual IME payments.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
Transmittal Number: CT-22-0018
State: Connecticut
Summary: Rate increases for nursing facility services. Specifically, it implements a 10 percent increase to base rates, and effective July 1, 2022 a benefit and pension per diem rate increase with a pool amount of $30.8 million.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
Transmittal Number: OK-21-0041
State: Oklahoma
Summary: Updates and clarifies the frequency and method for re-basing Certified Community Behavioral Health (CCBH) Prospective Payment System (PPS) rates based on cost reports.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links: