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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 11 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: CA-15-0021
State: California
Summary: Updates the payment methodology for the Local Educational Agency (LEA) Medi-Cal Billing Option Program
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
Transmittal Number: MI-20-0004
State: Michigan
Summary: Proposes to reimburse for psychiatric diagnostic evaluations services for beneficiaries under 21 years of age at 100% of the annual Medicare rates published each year.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
Transmittal Number: CA-20-0005
State: California
Summary: Adjusts the Medi-Cal Fee-for-Service (FFS) reimbursement rates for Durable Medical Equipment (DME) services using the Medicare rural fee schedule for DME, Prosthetics, Orthotics, and Supplies
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CA-20-0002
State: California
Summary: Adds Orange County (Group 4) to the existing Health Home Program with the population criterion of Serious Mental Illness (SMI) or Serious Emotional Disturbance (SED)
Approval Date:
Effective Date:
Topics:
  • Health Homes
Links:
Transmittal Number: CA-20-0004
State: California
Summary: Updates the rates for Radiological services to pay no more than 80% of the corresponding Medicare Physician Fee Schedule rate
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
Transmittal Number: MI-20-0003
State: Michigan
Summary: Updates neonatal services language in response to the MDHHS Fiscal Year 2020 budget, increasing the Medicaid reimbursement percentage from 75% to 95% for specified neonatal intensive and critical care services.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
Links:
Transmittal Number: MO-20-0003
State: Missouri
Summary: Updates the Missouri targeted case management payment methodology to a fee schedule for developmentally disabled individuals with an effective date of July 1, 2020
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: AK-20-0001
State: Alaska
Summary: Adds Licensed Marriage and Family Therapists, as Medicaid practitioners eligible to receive reimbursement
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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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: