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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 20 results
Transmittal Number: UT-23-0017
State: Utah
Summary:

This SPA provides Utah with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.

Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-23-0007
State: Utah
Summary: The state adopts the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, Pub. L. No. 115-217, section 1002.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-20-0006
State: Utah
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, Expand Hospital Presumptive Eligibility to uninsured individuals for COVID-19 testing and related services, and Waive cost sharing for testing services (including in-vitro diagnostic products), testing- related services, and treatments for COVID-19, including vaccines, specialized equipment and therapies.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-20-0001
State: Utah
Summary: Updates the effective date on the introduction page
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-19-0011
State: Utah
Summary: Allows Utah to provide Medicaid coverage for former foster care individuals who were enrolled prior to turning 18.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Benefits
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-17-0017
State: Utah
Summary: This State Plan Amendment implements a disregard from resources and income in regard to the UT Educational Savings Plan and eligibility determinations for certain groups.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-16-0002-MM
State: Utah
Summary: Adds Former Foster Care Youth: Adds eligibility for individuals who were in foster care from states.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-15-0018
State: Utah
Summary: This State Plan Amendment updates Utah Medicaid's eligibility marriage policy.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-14-0036
State: Utah
Summary: Kinship Guardianship Coverage.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-14-0035-MM1
State: Utah
Summary: This SPA removes the presumptive eligibility for children program in Utah.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT