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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 1213 results
Transmittal Number: HI-24-0012
State: Hawaii
Summary:

This amendment is to increase the monthly needs allowance for individuals living in certain long-term care facilities from $50 to $75 for individuals and $100 to $150 for couples.

Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: SD-24-0014
State: South Dakota
Summary:

This amendment inflationary rate increases and various coverage and service updates.

Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
  • Eligibility
Links:
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Transmittal Number: LA-24-0024
State: Louisiana
Summary:

This SPA provides assurance in Attachment D that the benefit package provided for all individuals through the postpartum extension complies with section 1937 of the Act, including the provision of essential health benefits (EHBs) and that no treatment limitations that are more restrictive than the Alternative Benefit Plan (ABP).

Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: MI-24-1002
State: Michigan
Summary:

Expands the list of applicable diagnoses to reflect the SUD-Health Home in conjunction with the related traditional SPA (MI 24-1501).

Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: PR-24-0006
State: Puerto Rico
Summary:

Increases non-MAGI group resource limits, make adjustments to certain income and resource disregards, and memorialize certain MAGI related elections.

Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: PR-24-0005
State: Puerto Rico
Summary:

Coverage for various optional eligibility groups.

Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: WI-24-0010
State: Wisconsin
Summary:

This Amendment totally disregards Medicare Advantage Supplemental Benefits as income and Goals and objectives as assets.

Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: NE-23-0016
State: Nebraska
Summary:

This Amendment approves the newly implemented iServe electronic application.

Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: LA-24-0001
State: Louisiana
Summary:

This amendment adopts provisions governing incurred medical and remedial care expenses in the determination of financial eligibility for the Medical Assistance Program in order to deduct expenses incurred for necessary medical and remedial care, subject to the reasonable limits, from the individual's income when calculating patient liability to an institution and to limit the time institutions have to report these expenses.

Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: NH-24-0022
State: New Hampshire
Summary:

This amendment is being submitted to New Hampshire’s Alternative Benefit State Plan to demonstrate and ensure that community-based mobile crisis intervention services are provided to New Hampshire Medicaid beneficiaries as outlined in Section 9813 of the American Rescue Plan of 2021.

Approval Date:
Effective Date:
Topics:
  • Benefits
  • Alternative Benefit Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT