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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.

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Showing 31 to 40 of 63 results
Transmittal Number: GU-15-001
State: Guam
Summary: This SPA adds coverage and a reimbursement methodology for mental health rehabilitative services.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AS-16-001
State: American Samoa
Summary: This amendment adds FQHC services and a reimbursement methodology to the state plan.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: GU-15-0003
State: Guam
Summary: Establishes new MAGI based income methodologies.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: GU-15-0002
State: Guam
Summary: This SPA establishes the income standards for the specific MAGI eligibility groups and the mandatory MAGI eligibility groups for Parents and Other Caretakers, Pregnant Women, Infants and Children Under Age 19, and Former Foster Care Children up to Age 26.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AS-15-0001
State: American Samoa
Summary: This amendment updates the prosthetic devices section to include surgically implanted devices for cataract patients, ostomy bags, and breast prostheses in American Samoa's State plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AS-12-003
State: American Samoa
Summary: Establishes a cost reimbursement methodology for inpatient hospital services provided by LBJ tropical Medical Center.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: AS-12-004
State: American Samoa
Summary: Establishes a Cost Reimbursement Methodology for Outpatient Hospital Services Provided by LBJ Tropical Medical Center.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: GU-14-001
State: Guam
Summary: Medicaid Alternative Benefit Plan for the New Adult Group.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Financing & Reimbursement
  • Managed Care
  • Program Administration
Links:
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Transmittal Number: GU-14-02 A
State: Guam
Summary: ABP Cost Sharing Charges.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
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Transmittal Number: GU-14-05-MM1
State: Guam
Summary: Establishes Mandatory Coverage Adult Group up to 133% FPL.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT