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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: SD-10-009
State: South Dakota
Summary: Income and Eligibility Verification System (PARIS).
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Transmittal Number: ND-10-008
State: North Dakota
Summary: Update Medicaid Estate Recoveries to conform to MIPPA Section 115 and ARRA Section 5006(c).
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  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: SD-10-008
State: South Dakota
Summary: This amendment updates the reimbursement methodology for inpatient hospitals participating in South Dakota Medicaid. Specifically, this amendment updates the annual Medicare Diagnostic Related Group (DRG) to reflect the current period and modifies cost outlier thresholds.
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Transmittal Number: ND-10-010
State: North Dakota
Summary: CHIPRA Deemed Newborns.
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Transmittal Number: SD-10-006
State: South Dakota
Summary: This amendment changes the reimbursement methodology for the estimated acquisition cost (EAC) from average wholesale price (AWP) less 10.5 percent to AWP less 13 percent.
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Transmittal Number: ND-09-014
State: North Dakota
Summary: Amends State Plan to Change Eyeglasses Service Limitation to 2 Years.
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Transmittal Number: ND-10-011
State: North Dakota
Summary: Deletion of Amendment Related to ER Co-Pays in Excess of the Nominal Amount.
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Transmittal Number: ND-10-012
State: North Dakota
Summary: This amendment modifies the reimbursement methodology to North Dakota'sIntermediate Care Facilities for the Mentally Retarded (ICF/MRs) by amending the supplemental payment to providers who serve behaviorally challenging or medically fragile individuals whose needs exceed normal thresholds based on criteria established by the department.
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Transmittal Number: ND-10-003
State: North Dakota
Summary: Personal Needs Allowance.
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Transmittal Number: ND-10-009
State: North Dakota
Summary: Income and Eligibility Verification System PARIS.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT