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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 41 to 50 of 26525 results
Transmittal Number: KY-23-0006
State: Kentucky
Summary: This SPA implements revisions to the State Plan to extend the age limit for residents in dually licensed pediatric nursing facilities.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
Transmittal Number: WI-23-0009
State: Wisconsin
Summary: This State Plan Amendment provides an increase to the ground ambulance transport services fee-schedule rates. These services include advanced life support levels one and two, advanced life support level one emergency, basic life support, basic life support emergency, and specialty care transport.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
Transmittal Number: MS-23-0006
State: Mississippi
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 to make a one-time, lump-sum payment to all Mississippi hospitals eligible for supplemental payments under federal and state laws and regulations upon CMS approval and not later than the end of the federal Public Health Emergency.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
Transmittal Number: MN-23-0012
State: Minnesota
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 increase the pharmacist dispensing fee from $10.48 to $10.77 per prescription.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Prescribed Drugs
  • Reimbursement
Links:
Transmittal Number: MN-23-0008
State: Minnesota
Summary: This amendment makes changes to the delivery of Children's Therapeutic Services and Supports per state law change.
Approval Date:
Effective Date:
Topics:
  • coverage
Links:
Transmittal Number: ND-23-0006
State: North Dakota
Summary: This SPA proposes to amend the State Plan to implement a value-based supplemental rebate agreement.
Approval Date:
Effective Date:
Topics:
  • Prescribed Drugs
  • Prescription Drugs
  • Value Based Purchasing
Links:
Transmittal Number: DE-22-0011
State: Delaware
Summary: This SPA provides Delaware with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
Transmittal Number: KY-23-0003
State: Kentucky
Summary: To add Licensed Alcohol and Drug Counselor (LADC) as a new provider and create a Behavioral Health Associate (BHA) provider.
Approval Date:
Effective Date:
Topics:
  • Preventative Services
Links:
Transmittal Number: MO-22-0025
State: Missouri
Summary: This Medicaid State Plan Amendment (SPA) provides for the transformation of MO HealthNet nursing facility reimbursement rates by establishing a new reimbursement methodology.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
Transmittal Number: WI-23-0001
State: Wisconsin
Summary: This amendment adds enhanced mobile crisis services to the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links: