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 401 to 410 of 600 results
Transmittal Number: DC-13-0019
State: District of Columbia
Summary: Meets requirements In Establishing an ABP SPA.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-13-06
State: District of Columbia
Summary: Modifies the District's Nursing Facility prospective payments system to re-instate the annual inflation and adjustment applied to each facilities specific rate.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-13-0002-MM2
State: North Carolina
Summary: Incorporates the Medicaid Adjusted Gross Income base eligibility process requirements, including the single streamlined application into NC Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-13-032
State: North Carolina
Summary: This amendment !proposes to revise reimbursement for long term care specialty units.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-13-0017-MM6
State: North Carolina
Summary: Incorporates Citizenship Regulations, Specifies Reasonable Opportunity Period Options, and Specifies Policy Options related to Eligible Non-Citizens.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-13-0016-MM5
State: North Carolina
Summary: Incorporates Residency Regulations, Addresses Interstate Agreements, and Temporary Absence.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-13-0015-MM3
State: North Carolina
Summary: Incorporates MAGI-Based Income Methodologies.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-13-005
State: North Carolina
Summary: Adds Tobacco Cessation Services for pregnant women, a requirement under the Affordable Care Act, Section 4107.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-13-007
State: North Carolina
Summary: Adds language required under the Affordable Care Act Section 2302 Concurrent Care for Children that allows individuals under age 21 to receive hospice services without foregoing any treatment including curative treatment.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-13-041
State: North Carolina
Summary: Expands North Carolina Health Coverage for Workers with Disabilities group and increases the earned income limit.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT