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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 661 to 670 of 749 results
Transmittal Number: CA-11-023
State: California
Summary: Amends psychiatric services for beneficiaries under 21 years, and physical therapy and related services.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: CA-05-010
State: California
Summary: Makes Technical Correction to SPA Number 05-010.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: VT-11-023C
State: Vermont
Summary: This SPA transmitted a proposed amendment to Vermont's approved Title XIX State Plan to revise the payment methodology for all hospitals for outpatient services to comply with Medicare OPPS 2011 payment provisions. A two-tiered rate structure will continue to pay the standard rates for each APC to out-of-state hospitals and an enhanced rate to in-state hospitals.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: VT-11-021
State: Vermont
Summary: Modifies the methodology used to calculate DSH payments.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CA-11-035
State: California
Summary: Request to delay the effective date of the elimination of the coverage of Adult Day Health Care services to March 1, 2012.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: CA-11-009
State: California
Summary: Ten Percent Payment Reduction for Medi-Cal Outpatient Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CA-11-003
State: California
Summary: Removal of Adult Strength Non-Lenend Acctaminphen Products As A Covered Benefit.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
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Transmittal Number: CA-08-009B
State: California
Summary: Implement 10% provider payment reduction for specified providers and services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CA-08-009A
State: California
Summary: Payment reducings for inpatient services of Non-contracted hospitals.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CA-08-009D
State: California
Summary: Reduce payment rates at 10 and 5 percent when specified, and Freezes 2009-2010 rates and subsequent rates at the 2008-2009 levels as mandated by Health Trailer Bill.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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