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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 551 to 560 of 588 results
Transmittal Number: KS-10-05
State: Kansas
Summary: Pharmacy Payment Reduction.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: KS-09-007
State: Kansas
Summary: To Amend Reimbursement Methodology for School Based Services.
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Transmittal Number: KS-10-06
State: Kansas
Summary: Psychiatric Residential Treatment Facilities (PRTFs).
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: KS-10-07
State: Kansas
Summary: Reduces PACE Program Reimbursement from Jan 1 to June 30 2010.
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Transmittal Number: IA-10-005
State: Iowa
Summary: The SSDC Iowa Medicaid Supplemental Drug Rebate Agreement utilized by the State to enter into a rebate agreement with a drug manufacturer has been revised to correct a formatting error on page 14 and must be authorized by CMS.
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Effective Date:
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Transmittal Number: IA-08-13
State: Iowa
Summary: Bring Birth to 3 Target Group into Compliance with Targeted Case Management TCM Rules.
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Transmittal Number: IA-10-003
State: Iowa
Summary: To Place Reasonable Limits on the Amounts of Incurred Necessary Medical Expenses.
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Transmittal Number: IA-09-022
State: Iowa
Summary: Reductions in fee schedule payments to providers, per across the board budget cuts made by the Governor.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: IA-10-002
State: Iowa
Summary: Increases the resource limits for QMB, SLMB and QI. Adds Qualified Individuals (QIs) to Attachment 26-A. Uses current language for specified Low Income Medicare Beneficiaries (SLMB) in Attachment 2.2-A, and Re-numbers 28 to 29 and 29 to 30 in Attachment 2.2-A.
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Effective Date:
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Transmittal Number: IA-10-001
State: Iowa
Summary: CHIPPRA 2009 gave states the option to use express lane procedures for determining Medicaid eligibility for children. SF 389 requires IA DHS to implement this option. DHS has chosen to rely on information from the IA Supplemental Nutrition Food Assistance Program eligibility to determine Medicaid eligibility for children under 19 who are not current Medicaid members.
Approval Date:
Effective Date:
Topics:
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