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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 26525 results
Transmittal Number: PA-23-0011
State: Pennsylvania
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to temporarily extend the Alternative Payment Methodology (APM) to pay Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) for COVID-19 vaccine administration.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
Transmittal Number: TX-22-0023
State: Texas
Summary: This amendment is to expand the settings an ambulance provider may transport a beneficiary to from only a nursing facility or hospital to any appropriate setting.
Approval Date:
Effective Date:
Topics:
  • Transportation
Links:
Transmittal Number: MA-23-0003
State: Massachusetts
Summary: This SPA proposes to update the coverage language for certain nonprescription drugs on the state’s Pharmacy coverage pages.
Approval Date:
Effective Date:
Topics:
  • Prescribed Drugs
Links:
Transmittal Number: GU-23-0002
State: Guam
Summary: This SPA implements coverage of the new mandatory benefits of COVID 19 Vaccines and Administration of the Vaccines, Diagnostic and Screening Tests, and Treatment, Specialized Equipment and Therapies, and Preventive Therapies in accordance with the requirements of Section 9811 of the American Rescue Plan (ARP) Act.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
Transmittal Number: MA-23-0026
State: Massachusetts
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 disregard income that would have otherwise been counted for purposes of determining eligibility.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
Links:
Transmittal Number: MA-22-0025
State: Massachusetts
Summary: This SPA adds mandatory coverage of COVID-19 vaccine and administration, testing, and treatment benefits as required by Section 9811 of the American Rescue Plan Act.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
Transmittal Number: WY-22-0005
State: Wyoming
Summary: This SPA adds mandatory coverage of COVID-19 vaccine and administration, testing, and treatment benefits as required by Section 9811 of the American Rescue Plan Act.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
Transmittal Number: CO-23-0001
State: Colorado
Summary: This amendment add the populations served by the following 1915(c) HCBS waivers as target groups for Targeted Case Management: Brain Injury (BI), Children's Home and Community Based Services (CHCBS),Children with Life Limiting Illness (CLLI) Complementary and Integrative Health (CIH), Community Mental Health Supports (CMHS), and Elderly, Blind, and Disabled (EBD).
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
Transmittal Number: CO-23-0001-A
State: Colorado
Summary: This amendment adds a target group for children with developmental disabilities receiving services through the Early Intervention program for Targeted Case Management.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
Transmittal Number: PR-23-0001
State: Puerto Rico
Summary: To verify its AFDC income standards and local poverty level for the Puerto Rico Medicaid Program.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links: