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 1 to 8 of 8 results
Transmittal Number: CO-24-0026
State: Colorado
Summary: This amendment authorization is for Health First Colorado to obtain reimbursement for Partial Hospitalization services as defined by the American Society of Addiction Medicine’s 2.5 standards.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-24-0003-A
State: Colorado
Summary: This amendment adds Direct-Entry Midwives (also referred to as Certified Professional Midwives) to the midwifery provider types.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-24-0025
State: Colorado
Summary: This amendment defines and authorize reimbursement for Community Health Workers (CHW) by Health First Colorado as providers of CHW services.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-24-0004
State: Colorado
Summary: The SPA provides coverage for doula services for Medicaid-enrolled pregnant and postpartum persons effective July 1, 2024.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-23-0030
State: Colorado
Summary: This amendment eliminates limits on adult dental services, which were previous capped at $1,500 per year per member.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-23-0001-A
State: Colorado
Summary: This amendment adds a target group for children with developmental disabilities receiving services through the Early Intervention program for Targeted Case Management.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-23-0001
State: Colorado
Summary: This amendment add the populations served by the following 1915(c) HCBS waivers as target groups for Targeted

Case Management: Brain Injury (BI), Children's Home and Community Based Services (CHCBS),Children with Life Limiting Illness (CLLI) Complementary and Integrative Health (CIH), Community Mental Health Supports (CMHS), and Elderly, Blind, and Disabled (EBD).
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: GA-21-0016
State: Georgia
Summary: GA Medicaid proposes to add a new provider that may render services under the State Plan; Lactation consultants.  The Department currently provides lactation services and is seeking to enroll lactation consultations as an individual practitioner.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT