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 211 to 220 of 527 results
Transmittal Number: UT-14-030
State: Utah
Summary: This State Plan Amendment clarifies coverage and limitations on Optometry Services.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-17-018
State: Indiana
Summary: This amendment extends the nursing facility quality assessment fee enhanced reimbursement provisions through June 30, 2019.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-17-004
State: Indiana
Summary: This state plan amendment makes conforming changes to the state plan to extend the current 3% rate reduction for inpatient hospital services that is currently set to expire 6/30/17.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-17-012
State: Indiana
Summary: This state plan amendment removes the three percent rate reduction that was applied to the Home Health Agency reimbursement rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-17-006
State: Indiana
Summary: Effective July I ,2017, state plan amendment (SPA) l7-0006 makes conforming changes to the state plan to extend payments rate reductions for nursing facilities (NF) that are currently set toexpire 6130117. Under this State Plan Amendment (SPA), the current rates will continue through June 30, 2019.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-17-005
State: Indiana
Summary: This state plan amendment extends the current three percent rate reduction for outpatient hospital services (excluding ambulatory surgical center reimbursement), which is currently set to expire on June 30, 2017.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-17-0001
State: Utah
Summary: This State Plan Amendment updates the Medicaid cost- sharing policy in accordance with the Affordable Care Act, effective July 1, 2017.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-17-0021
State: Utah
Summary: Removes the reimbursement page for peer support services because reimbursement for these services already falls under the category of rehabilitative mental health.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-17-0019
State: Utah
Summary: Updates and clarifies limitations in physician service coverage that include licensing, provision of services, physician procedures, and utilization criteria.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-17-002
State: Indiana
Summary: This SPA proposes to bring Indiana into compliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment (CMS-2345-FC).
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT