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 141 to 150 of 634 results
Transmittal Number: ND-21-0020
State: North Dakota
Summary: Identify minimum requirements for non-emergency transportation providers.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-21-0025
State: North Dakota
Summary: This amendment expands the number of acceptable ICD_10 Diagnoses for individual with the diagnosis of brain injury, behavioral health condition and/or substance abuse disorder.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Delivery System
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-21-0016
State: North Dakota
Summary: This SPA removed pages that were left in the State Plan in error; by vacating coverage pages for Targeted Case Management for Individuals with a Traumatic Brain Injury and Targeted Case Management for Individuals in Pre - or Post - Adoption.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-21-0018
State: North Dakota
Summary: renumber Attachment 4.19-B
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-21-0017
State: North Dakota
Summary: This SPA amends the State Plan to update pages related to cooperative arrangements with the State vocational rehabilitative agency and Title V grantee.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-21-0010
State: Utah
Summary: This Amendment increases payment for providers reference in Utah’s American Rescue (ARPA) Act Home and Community Based Services (HCBS) Funding Spending Plan.
Approval Date:
Effective Date:
Topics:
  • Home and community based services
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-21-0011
State: Utah
Summary: This State Plan Amendment updates the Durable Medical Equipment (DME) fee schedule. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-21-0011
State: Utah
Summary: Updates the Durable Medical Equipment (DME) fee schedule.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-21-0009
State: North Dakota
Summary: allows the state to implement an inflationary increase for Targeted Case Management Services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-21-0010
State: North Dakota
Summary: Allows the state to implement an inflationary increase for Early Periodic Screening, Diagnostic, Treatment (EPSDT) Services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT