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 181 to 190 of 481 results
Transmittal Number: DE-21-0005
State: Delaware
Summary: Adds medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DE-21-0006
State: Delaware
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment to temporarily include retainer payments to address emergency-related issues.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NH-21-0028
State: New Hampshire
Summary: This amendment updates the state's disproportionate share hospital payments and critical access hospital supplemental payments
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NH-21-0034
State: New Hampshire
Summary: Revises the quarterly nursing home supplemental payment, also known as MQIP, for dates of service in the quarter ending June 30, 2021
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NH-21-0030
State: New Hampshire
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to implement a Specialized COVID - 19 Behavioral Health Long Term Care Bed Rate.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NH-21-0031
State: New Hampshire
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to adjust reimbursement methodologies.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NH-21-0026
State: New Hampshire
Summary: The purpose of SPA #21-0026 is to comply with State Medicaid Director letter #10-021 of October 1, 2010 and to request an exception to the Recovery Audit Contract (RAC) program.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NH-21-0016
State: New Hampshire
Summary: Effective January 1, 2021, this amendment allows for a 3.1 percent increase to Medical Transportation, Emergency, and Air Ambulance. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NH-21-0013
State: New Hampshire
Summary: This plan amendment allowed for a 3.1% increase to Other Diagnostic, Screening, Preventative and Rehabilitation Services (ESS, PNMI, other DCYF). 
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NH-21-0014
State: New Hampshire
Summary: This plan amendment allowed for a 3.1% increase to Other Diagnostic, Screening, Preventative and Rehabilitation Services - Community Mental Health (CMH). 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT