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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 531 to 540 of 594 results
Transmittal Number: PA-11-014
State: Pennsylvania
Summary: Proposes to add Opiate Dependence Agents, which includes Buprenorphine Agents, and Antipsychoetics, which include Atypical Antipsychotics and Conventional Antipsychotics, to the Preferred Drug List (PDL).
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Transmittal Number: WV-11-005
State: West Virginia
Summary: This SPA adds the hospice concurrent care legislation requirement, in accordance with section 2302 of the Affordable Care Act.
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Transmittal Number: WV-11-011
State: West Virginia
Summary: This SPA describes the reimbursement methodology that will be used to establish reimbursement rates for personal care services. Following our review, we find it approvable.
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Transmittal Number: PA-11-024
State: Pennsylvania
Summary: This amendment continues a series of disproportionate share inpatient hospital payments to qualifying acute care general hospitals, freestanding rehabilitation hospitals, and certain DSH hospitals.
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  • Financing & Reimbursement
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Transmittal Number: PA-11-013
State: Pennsylvania
Summary: Rate methodology for LIFE sites operating under Medicare and Medicaid Capitation Program of All-Inclusive Care for the Elderly.
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  • Financing & Reimbursement
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Transmittal Number: PA-11-021
State: Pennsylvania
Summary: Targeted Case Management Savices for Chil dren Under Age 3 with a Developmental Delay.
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  • Program Administration
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Transmittal Number: PA-11-016
State: Pennsylvania
Summary: Budget Adjustment Factor for County Nursing Facilities for Rate Years 2011-2012 and 2012-2013.
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Transmittal Number: PA-11-015
State: Pennsylvania
Summary: Budget Adjustment Factor for Nonpublic Nursing Facilities for Rate Yars 2011-2012 and 2012-2013.
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Transmittal Number: PA-11-011
State: Pennsylvania
Summary: Extension of Medicaid Day One Incentive payments and funding levels for fiscal year 2011-2012.
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Transmittal Number: PA-11-007
State: Pennsylvania
Summary: Modifies the reimbursement methodology for disproportionate Share Hospital payments for qualifying small and sole community hospitals to recognize additional qualifying facilities and increases the allocation for supplemental payments to freestanding rehabilitation hospitals.
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