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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 1 to 10 of 49 results
Transmittal Number: SD-24-0014
State: South Dakota
Summary: This amendment inflationary rate increases and various coverage and service updates.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
  • Eligibility
Links:
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Transmittal Number: WA-24-0016
State: Washington
Summary: This SPA amendment is to update the organization and administration of the State Medicaid Agency and reflects internal organizational change.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: WA-24-0018-2
State: Washington
Summary: This SPA amends new income disregards for the Qualified Medicare Beneficiaries (QMB) and Qualifying Individuals eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WA-24-0003
State: Washington
Summary: This amendment changes to the income eligibility methodologies for Community Behavioral Health Support Services (CBHS) in Washington’s section 1915(i) authorized Supportive Supervision and Oversight benefit.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SD-23-0021
State: South Dakota
Summary: With this SPA the state expands eligibility to individuals under age 21 who are under a state-only funded adoption assistance agreement, and to confirm the scope of coverage under the state plan for certain reasonable classifications of children.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SD-23-0023
State: South Dakota
Summary: This SPA provides twelve months of continuous eligibility for children.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: WA-23-0048
State: Washington
Summary: This amendment is to comply with Section 1940 (42CFR 1396w) of the Social Security Act by contracting with vendors who specialize in automated financial institution verification for Medicaid agencies and check the financial resources of Medicaid applicants/recipients.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SD-23-0018
State: South Dakota
Summary: This Amendment expands Hospital Presumptive Eligibility (HPE) to include the Adult Medicaid Expansion group.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
  • Eligibility
Links:
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Transmittal Number: WA-23-0045
State: Washington
Summary: This amendment is to increase the Personal Needs Allowance (PNA) from to $100 and to $200 for couples.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SD-23-0003
State: South Dakota
Summary: The state adopts the the eligibility group serving individuals under age 65 with incomes at or below 133% of the federal poverty level (FPL), as described in section 1902(a)(10)(A)(VIII) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT