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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 241 to 250 of 459 results
Transmittal Number: WA-17-0033
State: Washington
Summary: This amendment updated the effective date of the conversion factors used to set payment rates for several Medicaid programs.
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  • Financing & Reimbursement
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Transmittal Number: WA-17-0026
State: Washington
Summary: This SPA updates qualification requirements for providers who deliver Screening, Brief Intervention, and Referral to Treatment (SBIRT) services and expands the settings where SBIRT services can be delivered.
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Topics:
  • Program Administration
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Transmittal Number: WA-17-0032
State: Washington
Summary: This SPA removes the requirement for prior authorization for hospice services, consistent with federal policy and state law.
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Effective Date:
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  • Program Administration
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Transmittal Number: WA-17-0039
State: Washington
Summary: This amendment is a technical correction to remove duplicative information from attachment 4.19-B, IX other non-institutional services, page 23.
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Transmittal Number: WA-17-0025
State: Washington
Summary: To expand covered telemedicine services to include "store and forward" telecommunication-based services. "Store and forward" is the asynchronous transmission of medical information to be reviewed at a later time by the physician or practitioner at the distant site.
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Topics:
  • Benefits
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Transmittal Number: WA-17-0018
State: Washington
Summary: This SPA allows eligible dentists to be paid an encounter rate for dental services provided at Rural Health Centers (RHC).
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: WA-16-0038
State: Washington
Summary: This amendment continues to provide for supplemental payments to certain non-state government nursing homes.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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    Transmittal Number: WA-17-0022
    State: Washington
    Summary: Clarifies the personal care providers may not work more hours in a week than approved by Department of Social and HealthServices and the timing and approval process for person-centered service planning and program eligibility.
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    Effective Date:
    Topics:
    • Program Administration
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    Transmittal Number: WA-17-0016
    State: Washington
    Summary: To implement a fee-for-service (FFS) Medicaid payment system for specialty mental health services provided to American Indian and Alaska Native (AI/AN) Medicaid enrollees. Currently, AI/AN enrollees must access specialty mental health services through a managed care system. SPA 17-0016 will allow mental health agencies to provide services to AI/AN enrollees on an FFS basis. AI/AN enrollees will have the choice to opt in to managed care mental health services or remain in the FFS system. Qualified mental health providers will be able to serve AI/AN enrollees and be paid through the FFS system.
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    Transmittal Number: WA-16-0005
    State: Washington
    Summary: Adds the ground medical transportation program.
    Approval Date:
    Effective Date:
    Topics:
    • Financing & Reimbursement
    • Program Administration
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