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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.

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Showing 41 to 50 of 363 results
Transmittal Number: GA-23-0002-VLP
State: Georgia
Summary: This amendment is to provide full coverage of Medicaid benefits for lawfully present non-citizen pregnant individuals and children under 19, effective January 1, 2024.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
  • Benefits
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-23-0012
State: District of Columbia
Summary: This plan amendment will update payment for physician-administered drugs. It will also allow the Department of Health Care Finance to reimburse the entire class of physician-administered drugs at one hundred percent (100%) of Medicare rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: GA-23-0007
State: Georgia
Summary: This amendment proposes to include coverage for blood pressure monitors with an effective date of July 1, 2023.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Medical Supplies & Devices
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: GA-23-0001-FFFC
State: Georgia
Summary: This amendment is to adopt the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance-Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, Pub. L. No. 115-217, section 1002.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-23-0007
State: District of Columbia
Summary: This state plan amendment clarifies coverage of crisis intervention services and service rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-23-0009
State: District of Columbia
Summary: To add provider types and services for children and adolescents under age 21 who need autism spectrum disorder (ASD) services.
Approval Date:
Effective Date:
Topics:
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-23-0008
State: District of Columbia
Summary: This plan amendment will permit the District's Medicaid program to provide supplemental payments in Fiscal Year 2024 to Medicaid-enrolled physician groups, with at least five hundred (500) physicians and that contract with a public general hospital located in an economically under-served area of the District to deliver inpatient, emergency department, and intensive care physician services to Medicaid beneficiaries.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-23-0006
State: District of Columbia
Summary: An exemption from the Medicaid Recovery Audit Contractor (RAC) requirements for two years.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: GA-23-0006
State: Georgia
Summary: This amendment is to add the Pathways beneficiaries as a mandatory population enrolled in managed care.
Approval Date:
Effective Date:
Topics:
  • Managed Care
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: GA-23-0005
State: Georgia
Summary: 9811 SPA - ARP Vaccine, Treatment and Testing Template (7.7)
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT