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 291 to 300 of 409 results
Transmittal Number: NC-12-001
State: North Carolina
Summary: This amendment proposes to revise the payment methodology for nursing facility services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-12-015
State: North Carolina
Summary: This amendment will allow ongoing Medicaid recipients in the aged/disabled and Medicare Savings programs who are negatively affected by a discrepancy between the Cost of Living Adjustment (COLA) increase and the increase in federal poverty level to maintain their Medicaid through a COLA disregard.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-12-011
State: North Carolina
Summary: Provides clarification to the Non-Emergency Transportation service.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-12-013
State: North Carolina
Summary: Revises the personal care services (PCS) benefit to make the eligibility criteria for receipt of PCS the same irrespective of setting.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-12-018
State: North Carolina
Summary: This amendment revises the dispensing fee for brands, and the generic dispensing fee 4 rate tier structure.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-12-006
State: North Carolina
Summary: This amendment will discontinue the pharmacy Opt-In program, which requires recipients receiving more that eleven prescriptions per month to remain at one pharmacy.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-12-017
State: North Carolina
Summary: Allows Medicaid to substitute the Payment Error Rate Measurement (PERM) to meet the statutory and regulatory Medicaid Eligibility Quality Control (MEQC) review requirements during the PERM cycle years of 2013, 2016, and 2019.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-12-016
State: North Carolina
Summary: Provides clarification to reflect that hearing aid services for children includes supplies and equipment and that the services meet the requirements of federal regulation at 42 CFR 440.110.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-12-014
State: North Carolina
Summary: Removes the endorsement language from the State plan for Medicaid providers of mental health, developmental disability, and substance abuse services.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-12-009
State: North Carolina
Summary: The amendment allows the state to remove Community Support-Adult and Community Support-Child language from the state plan.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT