U.S. flag

An official website of the United States government

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.

Search the Text of Medicaid State Plan Amendments
Filter by Approval Date
Filter by Effective Date
Showing 351 to 360 of 609 results
Transmittal Number: IA-14-022
State: Iowa
Summary: This SPA adds preventive services as defined in 42 CFR 440.130 ( c ), consistent with the provisions at 1905 (a) (4)(B) for EPSDT.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-15-0001
State: Utah
Summary: TeleHealth Services and Reimbursement.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-14-0036
State: Utah
Summary: Kinship Guardianship Coverage.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IA-14-0020-MM1
State: Iowa
Summary: This SPA submission replaces MMDL pages replaces S25: Parents and Other Caretaker Relatives; S28: Pregnant Women; S30: Infants and Children under Age 19; and S33: Mandatory Coverage Former Foster Care children; replacing those sections as originally approved in SPA 13-0026-MM1. This SPA is to adding presumptive eligibility determinations for these eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-14-0035-MM1
State: Utah
Summary: This SPA removes the presumptive eligibility for children program in Utah.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-14-033
State: Utah
Summary: Primary Care Physician Enhancement Payments.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IA-14-014
State: Iowa
Summary: Amends fee schedule reimbursement for ambulance services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-14-032
State: Utah
Summary: This State Plan Amendment updates the utilization trend used for the outpatient hospital UPL.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-14-034
State: Utah
Summary: This Amendment allows a beneficiary under a long-term care insurance policy to receive a resource disregard equal to insurance benefit payments made to or on behalf of the individual.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IA-14-011
State: Iowa
Summary: Implements Dispensing Fee Increase from $10.12 to $11.73 Per Prescription.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT