U.S. flag

An official website of the United States government

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
Filter by Approval Date
Filter by Effective Date
Showing 411 to 420 of 946 results
Transmittal Number: WA-18-0029
State: Washington
Summary: This eliminates a separate reimbursement methodology for bariatric surgery from the State plan and transfers reimbursement for this service to the routine DRG system.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WA-18-0033
State: Washington
Summary: Increases access to Medication Assisted Treatment (MAT) for opioid disorder.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WA-18-0035
State: Washington
Summary: Updated certain links and fee schedule effective dates for several Medicaid programs and services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-18-0027
State: Connecticut
Summary: Modifies the standard out-of\u00ADstate inpatient hospital all patient refined diagnosis-related group (APR-DRG) payment methodology.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-17-0020
State: Connecticut
Summary: Healthcare Common Procedure Coding System (HCPCS) codeS G0297 low dose CT scan for lung cancer to the physician radiology and independent radiology fee schedules., J7301 pricing, mammography services billed under CPT codes 77065-77067,G0202-G0206, aelectronic specialist consultation codes.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WA-18-0028
State: Washington
Summary: Implemented a 20 percent rate increase across all three tiers of Health Home services and reduced the performance incentive payment to 5 percent.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Health Homes
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-17-0026
State: Connecticut
Summary: Revises the Ambulatory Surgical Center fee schedule. Adds HCPCS code 41899 (Unlisted procedure, dentoalveolar) to the Ambulatory Surgical Center fee schedule, to expand access to dental care.
Approval Date:
Effective Date:
Topics:
  • Dental
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-17-0017
State: Connecticut
Summary: Revise the Federally Qualified Health Clinic (FQHC) reimbursement provisions to add an alternative payment methodology for Indian Health Services (I.H.S.) tribal clinics, pursuant to Section 1902(bb)(6) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WA-18-0012
State: Washington
Summary: Implements the Oral Health Connections dental pilot program.
Approval Date:
Effective Date:
Topics:
  • Dental
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WA-18-0031
State: Washington
Summary: Implements a pilot program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT