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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 19 results
Transmittal Number: WA-25-0001
State: Washington
Summary: This amendment adds Certified Peer Support Specialists and Trainees as providers of Rehabilitative Behavioral Health Services.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: WA-24-0041
State: Washington
Summary: This amendment is to revise out-of-date transplant coverage policies to conform to industry standards and government practices to the Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: WA-24-0013
State: Washington
Summary: This amendment is to add Behavioral Health Support Specialists as providers to the Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
Links:
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Transmittal Number: WA-24-0046
State: Washington
Summary: This amendment is to add Certified Behavioral Health Support Specialists (BHSS) as Medicaid providers to the Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: WA-24-0035
State: Washington
Summary: This amendment updates Physician Assistant Services, Screening, Brief Intervention, Referral and Treatment Services Providers, and Collaborative Care Services Providers to the Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Preventative Services
Links:
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Transmittal Number: MT-24-0017
State: Montana
Summary: This amendment is to extend the time frame for Targeted Case Management (TCM) for pregnant individuals receiving services after the end of their pregnancy to 12 months to align with the state’s extended eligibility coverage of 12 months post-partum for Medicaid-eligible pregnant individuals. 
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Targeted Case Management
Links:
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Transmittal Number: MT-24-0013
State: Montana
Summary: This amendment is to increase coverage of eyeglasses for individuals aged 21 and older to permit annual replacement that may be exceeded based on medical necessity.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: MT-24-0012
State: Montana
Summary: This amendment is to increase the monetary limit for dental services coverage and removes a specified tooth restriction for certain restorative porcelain and ceramic substrate crowns for individuals aged 21 and older.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: WA-24-0007
State: Washington
Summary: This amendment will add Community Health Aide Providers (CHAPs) to the other licensed practitioner's benefit in the state plan.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
Links:
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Transmittal Number: WA-24-0038
State: Washington
Summary: This amendment will remove a typographical error in Attachment 3.1-B page 21a.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT