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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 9 of 9 results
Transmittal Number: CA-20-0007
State: California
Summary: Clarifies which Non-Emergency Medical Transportation (NEMT) procedure codes are eligible to receive a time-limited supplemental payment (through December 31, 2021)
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Eligibility
Links:
Transmittal Number: AR-20-0015
State: Arkansas
Summary: This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to suspend cost-sharing for all eligibility groups for COVID-19 testing and treatment, add new optional benefits (management and evaluation service for adults with SMI; well-check service for children and adults with developmental disabilities); adjust benefits currently in the state plan (exempt certain services from annual limits when associated with testing or treatment of COVID-19); allow 90-day supplies of drugs and early refills; allow exceptions to the State's preferred drug list in case of shortages; establish payments for the new optional benefits; increase rates for direct care services and day habilitation; establish payments for delivering existing services through telehealth; and establish rates for COVID-19 screening and testing.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
  • Benefits
  • Prescription Drugs
  • Financing & Reimbursement
Links:
Transmittal Number: NE-20-0010
State: Nebraska
Summary: This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to cover individuals evacuated from the state or absent due to disaster, extend the reasonable opportunity period, designate new populations for presumptive eligibility to be determined by qualified entities who previously determined presumptive eligibility for Pregnant women only expanded telehealth to specific named providers; to provide new rates and billing codes for telehealth services, and provide new test codes and rates.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
  • Benefits
  • Financing & Reimbursement
Links:
Transmittal Number: CA-20-0017
State: California
Summary: requests a two-year extension of the previously approved exception to renew the Recovery Audit Contractor (RAC)
Approval Date:
Effective Date:
Topics:
  • Program Integrity
Links:
Transmittal Number: AR-20-0011
State: Arkansas
Summary: Establishes new provider qualification requirements for targeted case managers in ARChoices Personal Care.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
Transmittal Number: MD-20-0001
State: Maryland
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 suspend certain premium payments required under Maryland’s Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Cost Sharing
Links:
Transmittal Number: AR-20-0014
State: Arkansas
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purposes of this amendment is to establish supplemental payments to direct care workers during the COVID-19 public health emergency.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
Links:
Transmittal Number: ID-19-0023
State: Idaho
Summary: Add 1915(I) State Plan Option for reimbursement of state plan substance use disorder services delivered in an IMD setting.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Current State Plan
Links:
Transmittal Number: WY-20-0003
State: Wyoming
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purposes of this amendment is to suspend premiums for the Employed Individuals with Disabilities program eligibility group.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Premiums
Links: