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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 351 to 360 of 674 results
Transmittal Number: CA-18-0021
State: California
Summary: Provides an increase to the supplemental payment amount for Martin Luther King, Jr. - Los Angeles Healthcare Corporation (MLK-LA).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CA-18-013
State: California
Summary: Updates California's All Patient Refined Diagnosis Related Group (APR-DRG) payment parameters for state fiscal year 2018-2019.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CA-18-0018
State: California
Summary: Updates the state plan to reflect that only San Francisco County will implement a Health Homes Program.
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Effective Date:
Topics:
  • Benefits
  • Program Administration
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Transmittal Number: CA-18-011
State: California
Summary: This SPA makes a technical change to remove the comprehensive diagnostic evaluation (CDE) requirement for children diagnosed with autism spectrum disorder (ASD) to receive Behavioral Health Treatment (BHT) services under the preventive services benefit of the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: HI-18-0001
State: Hawaii
Summary: This SPA updates the income standard for Domiciliary Care Type I and Type II.
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Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: CA-18-005
State: California
Summary: Change the Programs of All-Inclusive Care for the Elderly (PACE) rate development methodology from a percent of fee-for-service (FFS) costs to an experience-based rate methodology that uses PACE organization cost experience, encounter data and other data to set rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CA-18-001
State: California
Summary: Eliminate the requirement for approval of a TAR.
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Transmittal Number: CA-17-024
State: California
Summary: This amendment authorizes the Skilled Nursing Facility Quality and Accountability Supplemental Payment (QASP) program for the rate year beginning August 1,2017.
Approval Date:
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Topics:
  • Financing & Reimbursement
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Transmittal Number: CA-17-0043
State: California
Summary: Reimbursement update for Vision Services.
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Transmittal Number: CA-17-044
State: California
Summary: Allows California to waive the monthly premiums for the Optional Targeted Low Income Children's Program (OTLICP) population on a case-by-case basis if the payment would create undue hardship for the individual.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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