An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
Menu
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.
Summary: This Amendment allows the state to authorize additional hours for Private Duty Nursing Services, up to 23 hours per day, when determined medically necessary.
Summary: This amendment proposed to update the income standards of Maine's Optional State Supplemental Program, the beneficiaries of which are eligible for Medicaid.
Summary: This amendment is to add coverage of routine patient costs for items and services furnished in connection with participation in qualifying clinical trials to Nevada’s Alternative Benefits Plan (ABP) pages.
Summary: This amendment is to remove the designations for Prepaid Inpatient Health Plan (PIHP) and Prepaid Ambulatory Health Plan (PAHP) from the State Plan.
Summary: This amendment proposes to confirm the methodology used to determine eligibility for the Special Assistance in-Home optional state supplement program, the beneficiaries of which are eligible for Medicaid.
Summary: Proposes to update Ohio's Alternative Benefit Plan to implement a Prepaid Inpatient Health Plan as part of the state's OhioRISE initiative for individuals eligible under Section 1902(a)(10)(A)(VIII) of the Social Security Act.
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 delay the rebasing of per diem specialty hospital rates until the expiration of the public health emergency.
Summary: This amendment adds assurances that Virginia covers and reimburses COVID-19 vaccine administration, testing, and treatment as required under section 9811 of the American Rescue Plan Act of 2021.
