U.S. flag

An official website of the United States government

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.

Search the Text of Medicaid State Plan Amendments
Filter by Approval Date
Filter by Effective Date
Showing 691 to 700 of 749 results
Transmittal Number: CA-11-014
State: California
Summary: Elimination of Adult Day Health Care.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CA-11-020
State: California
Summary: Adult Day Associated Transportation.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CA-11-001
State: California
Summary: To Update the State Plan to name the Department of Health Care Services as the single state agency for administration. This SPA also incorporates language detailing that DHCS has the authority to either make eligibility determinations itself, or provide administrative guidance to the CA Dept of Social Services, which oversees the county welfare departments' eligibility determination process.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CA-11-002
State: California
Summary: Adding Language to update the information to include the new Title IV-E kinship guardianship assistance payment program.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CA-09-015
State: California
Summary: Excludes coverage of optional benefits to Federally Qualified Health Centers and RuralHealth Centers.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CA-09-001
State: California
Summary: Excludes coverage of nine optional benefits.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CA-11-007
State: California
Summary: Supplemental Reimbursement for Hospital Outpatient Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CA-11-006
State: California
Summary: Supplemental Reimbursement for Hospital Inpatient Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-11-009
State: Vermont
Summary: This SPA transmitted a proposed amendment to your Agency's approved Title XIX State plan to revise the payment methodology for all hospitals for outpatient services to comply more closely with Medicare OPPS 2011 payment provisions.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-11-001
State: Vermont
Summary: This SPA transmitted a proposed amendment to your Agency's approved Title XIX State plan to implement the Resource Based Relative Value System (RBRVS) as a reimbursement methodology for certain providers of services within the State's Medicaid fee schedules.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT