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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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Transmittal Number: KS-14-0002-MM1
State: Kansas
Summary: Describes Modified Adjusted Gross Income MAGI Based Eligibility Groups.
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: KS-14-0011
State: Kansas
Summary: Modified Adjusted Gross Income Eligibility.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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: KS-14-0005-MM4
State: Kansas
Summary: Clarifies Authority and Responsibility of State Agency and its Relationship to Other Federal and State Agencies, the Fair Hearings Process, and the Process for Determining Eligibility.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
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
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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