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.

Search the Text of Medicaid State Plan Amendments
Filter by Approval Date
Filter by Effective Date
Showing 111 to 120 of 296 results
Transmittal Number: NE-18-0004
State: Nebraska
Summary: Nebraska will join a Consortium to develop an AVS and will enter into a contract with the New England States Consortium System Organization to meet the federal requirements in implementing an AVS, using a contractor to provide data to assist in verifying asset information for all individuals who have SSI-related eligibility.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-17-0021
State: Nebraska
Summary: Revises the definition of estate for purposes of Estate Recovery.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-17-0009
State: Nebraska
Summary: This amendment rebases Nursing Facility and Intermediate Care Facility for Individuals with Intellectual Disabilities payrnent rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-17-0005
State: Nebraska
Summary: This SPA adds additional Medicaid reimbursable services when provided by a school district per Nebraska Revised Statute 68-911.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-17-0019
State: Nebraska
Summary: This amendment is seeking an exception to the Medicaid Recovery Audit Contractor (RAC) Program in accordance with 42 CFR 455.516.
Approval Date:
Effective Date:
Topics:
  • Health Services Initiatives
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-17-0006
State: Nebraska
Summary: This SPA is changing the annual dental benefit limit from $1,000 to $750.00 for adult clients (age 21 and older). Exemptions will be in place for dental services for emergencies, extensive special needs and ill clients, and dentures.
Approval Date:
Effective Date:
Topics:
  • Dental
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-17-0018
State: Nebraska
Summary: This SPA is clarifying the provider types that are able to bill for Medical Nutrition Therapy.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-17-0015
State: Nebraska
Summary: This SPA is updating language regarding the Peer Support Professional staff.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-17-0007
State: Nebraska
Summary: This amendment will limit the payment of Medicare Part A and B deductibles and cost-sharing on Medicare crossover claims for Medicaid covered services to zero if the Medicare payment equals or exceeds the Medicaid rate.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-17-0004
State: Nebraska
Summary: This SPA is removing references to specific accrediting bodies and changing them to read " accreditations by a nationally recognized accrediting organization".
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT