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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 15 results
Transmittal Number: AR-21-0011
State: Arkansas
Summary: This amendment proposes to add four types of clinicians to the providers qualified to provide core services in Federally Qualified Health Centers:  licensed certified social workers, licensed professional counselors, licensed mental health counselors, and licensed marriage and family therapists.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: WA-21-0022
State: Washington
Summary: To remove information related to a "Reasonable Eligibility Period" eligibility pilot that the state implemented from July 1, 2018, through June 30, 2019. SPA 21-0022 will remove the pilot information from the Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: AR-21-0005
State: Arkansas
Summary: This amendment proposes extending benefit limits Acute Crisis Unit and Substance Abuse Detoxification services. 
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: AR-21-0007
State: Arkansas
Summary: Effective August 1, 2021, this amendment corrects an error regarding the required frequency of contacts between targeted case managers and beneficiaries.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: AR-21-0003
State: Arkansas
Summary: This amendment proposes to add a new section for Medication Assisted Treatment (MAT) based on guidance in CMS’s State Health Official Letter #20005, dated December 30, 2020.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: AR-20-0017
State: Arkansas
Summary: removes brand names and make other minor technical changes
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
Links:
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Transmittal Number: WA-20-0015
State: Washington
Summary: extends the provisions for rate enhancement for low volume, small rural hospitals
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
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Transmittal Number: AR-20-0011
State: Arkansas
Summary: Establishes new provider qualification requirements for targeted case managers in ARChoices Personal Care.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: WA-20-0011
State: Washington
Summary: Makes changes to the 1915(k) Community First Choice state plan option to include changes related to Washington's response to the COVID-19 outbreak.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Disaster Relief
Links:
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Transmittal Number: WA-20-0012
State: Washington
Summary:  This SPA amends the Specialized Services section in the State Plan to note that specialized services delivered at the facility or those that take the resident into the community may be suspended due to a state or federal national emergency.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Current State Plan
Links:
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