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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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Transmittal Number: WA-24-0026
State: Washington
Summary: This amendment is to add Community Health Workers as Providers of Preventative Services to the Medicaid State Plan.
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Effective Date:
Topics:
  • Coverage and Reimbursement
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Transmittal Number: AR-24-0015
State: Arkansas
Summary: This amendment is to include Autism Services for Children on Medicaid under the preventative benefit adding applied behavioral analysis (ABA) services for children.
Approval Date:
Effective Date:
Topics:
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Transmittal Number: AR-24-0014
State: Arkansas
Summary: This SPA, which adds Emergency Medical Technicians as Other Licensed Practitioners.
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Effective Date:
Topics:
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Transmittal Number: WA-24-0028
State: Washington
Summary: This amendment adds doula services to the Medicaid State Plan.
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Effective Date:
Topics:
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Transmittal Number: AR-22-0024
State: Arkansas
Summary: This amendment Maternal Life 360 Home to include new targeted case management program for pregnant women.
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Effective Date:
Topics:
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Transmittal Number: AR-24-0002
State: Arkansas
Summary: This amendment updates the Medicaid State Plan to provide coverage and reimbursement for Child Abuse Examination Services.
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Effective Date:
Topics:
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Transmittal Number: AR-23-0019
State: Arkansas
Summary: This amendment implements coverage and reimbursement of adult ( age 19 and over) immunizations and administration without cost sharing, when required according to the recommendations of the Advisory Committee on Immunization Practices (ACIP).
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Topics:
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Transmittal Number: WA-23-0047
State: Washington
Summary: This amendment adds Dental Health Aide Therapists per Court Order on January 12, 2023, and will align original SPA 17-0027 submitted on August 22, 2017, into the current Washington State Medicaid plan to cover and reimburse Dental Health Aide Therapists in accordance with state Senate Bill 5079 (codified into law at RCW 70.350.020).
Approval Date:
Effective Date:
Topics:
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Transmittal Number: WA-17-0027
State: Washington
Summary: This amendment is to cover and reimburse for Dental Health Aide Therapists (DHAT) in accordance with state Senate Bill 5079 (codified in state law at RCW 70.350.020), signed into law on February 22, 2017.
Approval Date:
Effective Date:
Topics:
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Transmittal Number: AR-22-0012
State: Arkansas
Summary: This amendment proposes to allow providers of Early Intervention Day Treatment (EIDT) and Adult Developmental Day Treatment (ADDT) services to provide transportation to and from their facilities to their clients. It also updates the payment methodology to be consistent with Arkansas' methodology for other transportation

services.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
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