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 301 to 310 of 1000 results
Transmittal Number: NY-20-0014
State: New York
Summary: Workforce salary increase for qualified Office of Mental Health (OMH) licensed services. Additionally, this state plan amendment also considers labor costs resulting from statutorily required increases in the New York State minimum wage.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-20-0016
State: New York
Summary: Applies a 1 % reduction uniformly across payments made under certain sections in the 4.19B section of the state plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-20-0009
State: Alabama
Summary: This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to allow code D1999 (Unspecified preventive procedure) to be billed and reimbursed at $20.00 to allow for reimbursement of PPE and cleaning supplies PPE that are necessary for dental offices to provide treatment to recipients.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-20-0012
State: New York
Summary: updates and extends the fee schedules associated with Independent Practitioner Services for Individuals with Developmental Disabilities (IPSIDD).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-15-0011
State: New York
Summary: Adds additional exempt groups from Medicaid copays
Approval Date:
Effective Date:
Topics:
  • Individual CoPayments or Insurance Payments
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-17-0029
State: New York
Summary: proposes to amend the co-payment for brand name prescription drugs dispensed in order to eliminate the difference in co-pay between a preferred drugs and a non-preferred drug
Approval Date:
Effective Date:
Topics:
  • Individual CoPayments or Insurance Payments
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-20-0019
State: New York
Summary: Proposes to include a 2% salary increase for certain staff of private psychiatric hospitals. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-20-0009
State: New York
Summary: Revises Medical Needy Income levels
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-20-0017
State: New York
Summary: This amendment will apply a I% rate reduction to nursing facility payments
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-20-0011
State: New York
Summary: Updates and extends the Ambulatory Patient Group (APG) methodology for hospital based clinics and ambulatory surgery services for the effective period January 1, 2020 thru December 31, 2020 and revise the APG methodology to reflect the recalculated weights with component updates
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT