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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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Transmittal Number: NY-14-0005
State: New York
Summary: Modified Adjusted Gross Income Eligibility.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NY-14-0028
State: New York
Summary: Terminates a two percent rate cut on certain inpatient hospital services and disproportionate share hospital payments that the State has implemented un NY 13-20.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NY-10-017
State: New York
Summary: Amends the Ambulatory Patient Group methodology for outpatient services, hospital based clinics ambulatory surgery services and emergency room services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: NY-14-0002
State: New York
Summary: Modified Adjusted Gross Income Eligibility.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NY-11-39A
State: New York
Summary: School Supportive Health Services Program (SSHSP) (FMAP=50%).
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
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Transmittal Number: NY-11-39B
State: New York
Summary: Preschool Supportive Health Services Program (SSHSP) (FMAP= 50%).
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: NY-13-008
State: New York
Summary: 2013 Inpatient UPL Payments-Cooney Island Hospital.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NY-14-004
State: New York
Summary: 2014 Inpatient UPL Payment Specialty Hospitals operated by health and hospitals corporation.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: AL-14-009
State: Alabama
Summary: This SPA allows the Alabama Medicaid Agency to increase Durable Medical Equipment (DME) provider reimbursement to 80 percent of Medicare's allowed amount.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: AL-13-016
State: Alabama
Summary: Discontinue the Certified Public Expenditure (CPE) program for State and Non State governmental hospital facilities and to implement plan authority for an Upper Payment Limit (UPL) program for State and Non-State governmental hospitals.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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