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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 1150 results
Transmittal Number: MA-23-0039
State: Massachusetts
Summary: This plan amendment updates the methods and standards used to determine rates of payment to community health centers.
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Transmittal Number: GA-23-0001-FFFC
State: Georgia
Summary: This amendment is to adopt the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance-Use Disorder Prevention that Promotes Opiod Recovery and Treatment for Patients and Communities (SUPPORT) Act, Pub. L. No. 115-217, section 1002.
Approval Date:
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Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
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Transmittal Number: TX-23-0024
State: Texas
Summary: The updates in the state plan benefit accounts for rate increases in the following services: assisted living and in-home respite services.
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Topics:
  • Reimbursement
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Transmittal Number: TX-23-0016
State: Texas
Summary: Primarily updates the rate methodology and payment rate for STAR Kids Community First Choice (CFC) Habilitation and Attendant Care, under the Consumer Directed Services (CDS) option. Other non-substantive edits are provided for clarity.
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  • Reimbursement
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Transmittal Number: DE-23-0004
State: Delaware
Summary: This amendment proposes to remove the optional service, case management of high-risk pregnant women, from the Delaware Medicaid State Plan as these services will now be provided via an evidence-based home visiting model under 1115 waiver authority, effective January 1, 2023.
Approval Date:
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Topics:
  • Targeted Case Management
  • Federal Financial Participation
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Transmittal Number: MT-23-0013
State: Montana
Summary: This SPA makes permanent telehealth flexibilities for home health services and to expand qualified providers to conform with federal regulatory changes.
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Topics:
  • Home Health
  • coverage
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Transmittal Number: NV-23-0004
State: Nevada
Summary: This SPA amendment is to adapt the changes to the eligibility rules for the Former Foster Care children eligibility group, as enacted by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
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Transmittal Number: NM-23-0008
State: New Mexico
Summary: This amendment is to remove the High Fidelity Wrap-a-round (HFW) language from the Health Home SPA since it will now be a part of a new 1115 to prevent duplication of services.
Approval Date:
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Topics:
  • Health Homes
  • Medicaid and CHIP Program (MACPro)
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Transmittal Number: OR-23-0015
State: Oregon
Summary: This amendment is to add Certified Indian Health Service Community Health Aide Program providers into the other licensed providers section of the state plan.
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Topics:
  • Coverage and Reimbursement
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Transmittal Number: AK-23-0005
State: Alaska
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 rescind SPA AK-22-0014, which temporarily extended the flexibility of a 10% rate increase for providers of Title XIX HCBS services effective 4/30/23. Effective May 1, 2023, AK 23-0004, will permanently implement the 10% increase plus the rebased amount for each of the listed Title XIX state plan Home and Community-Based Services: personal care, targeted case management, and 1915(k) Community First Choice Services, which replaces the AK 23-0005 rescission amendment.
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Topics:
  • Disaster Relief
  • Reimbursement
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