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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 121 to 130 of 796 results
Transmittal Number: IA-22-0008
State: Iowa
Summary: This amendment proposes language change to Iowa’s Third Party Liability Payment Claims section 1B and 1C.
Approval Date:
Effective Date:
Topics:
  • Third Party Liability
Links:
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Transmittal Number: CT-22-0018
State: Connecticut
Summary: Rate increases for nursing facility services. Specifically, it implements a 10 percent increase to base rates, and effective July 1, 2022 a benefit and pension per diem rate increase with a pool amount of $30.8 million.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CT-22-0016
State: Connecticut
Summary: This SPA provides Connecticut with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: CT-21-0037
State: Connecticut
Summary: Effective October 1, 2021 this amendment removes federally optional liens and recoveries. This amendment updates third-party liability section to reflect current law and practice with respect to the BBA of 2018 and it removes the language regarding the cost effectiveness premium purchase program for group health insurance that is authorized under section 1906 of the SSA.
Approval Date:
Effective Date:
Topics:
  • Third Party Liability
Links:
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Transmittal Number: CT-22-0004
State: Connecticut
Summary: Documented the increase in standards for Connecticut’s optional state supplement program.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: IA-22-0007
State: Iowa
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is end Nursing Facility COVID Relief Rate (NF CRR) Payments to Medicaid enrolled nursing facilities.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: CT-22-0008
State: Connecticut
Summary: 1)Incorporates federal HCPCS updates to Medical Clinic and Ambulatory Surgical Center fee schedules to remain compliant with

HIPAA; 2. Adds payment for specified drugs on Family Planning Clinic fee schedule; 3. As federally required by approved state

plan, updates physician-administered drug rates on Dialysis Clinic, Behavioral Health Clinic, and Medical Clinic fee schedules.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
  • Physician Administered Drugs
Links:
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Transmittal Number: CT-22-0005
State: Connecticut
Summary: This plan makes several updates under the physician and audiology services.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: CT-22-0003-A
State: Connecticut
Summary: This time limited disaster relief SPA seeks to update the effective dates, scope, and details consistent with the state's ARPA sec. 9817 HCBS spending plan, by implementing coverage and payment changes to section 1915. Connecticut Home Care Program for Elders (CHCPE) services.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Home and community based services
  • Reimbursement
Links:
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Transmittal Number: CT-22-0011
State: Connecticut
Summary: Effective January 1, 2022, SPA CT-22-0011 amends the Alternative Benefit Plan to implement mandatory coverage of routine patient costs furnished in qualifying clinical trials, as required by sections 1905(a)(30) and 1905(gg) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT