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 81 to 90 of 843 results
Transmittal Number: MA-23-0060
State: Massachusetts
Summary: An amendment to the payment methodologies for privately-owned psychiatric hospitals and substance abuse treatment hospitals
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MA-23-0058
State: Massachusetts
Summary: This amendment updates inpatient acute hospital payment methods and standards. The amendment also authorizes supplemental payment to qualifying acute hospitals and establish payment rates for new behavioral health and substance abuse use disorder services rendered in the hospital. Additionally, this amendment sunsets the state's pay-for -performance program but continue new incentive payment previously approved under the stat's clinical quality incentive program and its hospital quality and equity incentive program.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MA-23-0064
State: Massachusetts
Summary: This SPA proposes to confirm compliance with Third Party Liability payment of claims requirements under federal law.
Approval Date:
Effective Date:
Topics:
  • Third Party Liability
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MA-23-0059
State: Massachusetts
Summary: This plan amendment updates the methods and standards used to determine the rates of Acute Outpatient Hospital.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MA-23-0063
State: Massachusetts
Summary: This plan amendment updates the methods and standards used to determine the rates of Hearing Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-23-0042
State: North Carolina
Summary: This amendment will allow Medicaid to exempt anti-retroviral medications used to treat HIV for the purpose of reducing viral load from Medicaid co-payments.  These medications currently require a co-payment of $4 per prescription.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Preferred Drug Lists
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-23-0050
State: North Carolina
Summary: This amendment proposes to alleviate the effects of the nursing shortage on eligible Private Duty Nursing beneficiaries. The near relative or legally responsible person must have a valid and current nursing license and must operate within their scope of practice to deliver the skilled nursing service.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Home Health
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-23-0041
State: North Carolina
Summary: This plan amendment will increase reimbursement to Ambulatory Surgical Centers (ASC)/Dental Procedures.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MA-23-0066
State: Massachusetts
Summary: This amendment is to update the standard Alternative Benefit Plan (ABP) to add doula services.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MA-23-0067
State: Massachusetts
Summary: This amendment is to update the care plus Alternative Benefit Plan (ABP) to add doula services.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT