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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 541 to 550 of 756 results
Transmittal Number: OR-13-22
State: Oregon
Summary: This SPA describes the methodology used by the state for determining the appropriate FMAP rates, including the increased FMAP rates, available under the provisions of the ACT for the medical assistance expenditures under the Medicaid program associated with enrollees in the new adult group adopted by the state.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: OR-14-06
State: Oregon
Summary: This SPA reflects that an applicant or recipient must cooperate in identifying any third party who may be liable to pay for care under assignment of rights in the Medicaid state plan.
Approval Date:
Effective Date:
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Links:
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Transmittal Number: CT-14-0002-MM2
State: Connecticut
Summary: Incorporates MAGI-Based Eligibility Process Requirements Including Single Streamlined Application.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: CT-14-0004-MM4
State: Connecticut
Summary: Establishes Single State Agency and Entities Responsible for Determinations of Eligibility and Appeals/Fair Hearings.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: CT-14-011
State: Connecticut
Summary: Establishes a rate of payment for home health medication administration services delegated by registered nurses and provided by home health aides with certification to administer medications.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Prescription Drugs
  • Program Administration
Links:
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Transmittal Number: CT-14-010
State: Connecticut
Summary: Clarifies the inpatient case rates listed in the plan language.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CT-14-0001-MM1
State: Connecticut
Summary: Incorporates MAGI Based Eligibility Groups.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: CT-14-022
State: Connecticut
Summary: Eliminates Estate Recovery for the New Adult Group For Servuces Other than Nursing Facilities, Home and Community-Based Services, and Related Hospital and Prescription Drug Services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CT-14-0006-MM6
State: Connecticut
Summary: Incorporates the Citizen and Non-Citizen Eligibility Requirements.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: CT-14-0007-MM7
State: Connecticut
Summary: Indicates Hospitals in State Determine Eligibility Presumptively, and the State Provides Medicaid Coverage to Individuals Determined Presumptively Eligible.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT