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 751 to 760 of 1091 results
Transmittal Number: NY-14-06
State: New York
Summary: This SPA proposes to revise the 2014 Medically Needy Income level.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-13-0056-MM4
State: New York
Summary: This SPA incorporates the Single State Agency SPA into New York's Medicaid state plan in accordance with the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-11-24C
State: New York
Summary: Supplemental payments to certain providers for inpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-12-029
State: New York
Summary: Implements a pay for performance quality incentive payment program for non-specialty nursing facilities and also provides for a proportional rate reduction.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-11-06
State: Oregon
Summary: Requires states that currently offer services in a freestanding birthing center, to add this as a mandatory Medicaid services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-14-03
State: Oregon
Summary: This SPA increases the personal needs allowance for the aged, blind and disabled population from $30 to $60 for individuals and from $60 to $120 for couples as authorized by the state legislature.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-14-04
State: Oregon
Summary: This amendment corrects and reduces duplicative licensing requirements for behavioral health providers.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-13-63
State: New York
Summary: To amend the Health Home Per Member Per Month (PMPM) payment methodology for case management programs that met Health Home standards and converted to Health Homes or became part of a larger Health Home.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Health Homes
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-14-05
State: Oregon
Summary: Modifies the rate methodology for the Programs for the All-Inclusive Care of the Elderly (PACE) aligning payment with the Oregon Health Authority's (OHA) performance-based reimbursements.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-14-32
State: New York
Summary: Extends the Ambulatory Patient Group methodology for freestanding clinic and ambulatory surgery center services for the period effective April 1, 2014 through December 31, 2014.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT