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 131 to 140 of 548 results
Transmittal Number: AR-22-0006
State: Arkansas
Summary: Authorizes the state to enter in Value-Based Purchasing (VBP) rebate agreements with drug manufacturers for drugs provided under the Medicaid program. This SPA also allows the state to join a multi-state Preferred Drug List pool.
Approval Date:
Effective Date:
Topics:
  • Prescribed Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-21-0019
State: North Dakota
Summary: Updates the supplemental payment methodology for Critical Access Hospitals (CAHs).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-22-0005
State: North Dakota
Summary: Amends the State Plan to assure coverage of COVID-19 vaccines, vaccine counseling, tests and treatment.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-22-0006
State: North Dakota
Summary: Amends the State Plan to include the Medicare Fee Schedule in the overall lesser of logic calculation for physician administered drugs.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
  • Prescribed Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-22-0002
State: Arkansas
Summary: Removes non-emergency ambulance services from the exceptions to the emergency medical transportation payments.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-22-0001
State: Arkansas
Summary: This amendment proposes allows pharmacists to enroll individually as atypical providers to prescribe and administer specified drugs, and test and screen for certain health conditions.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-22-0003
State: Arkansas
Summary: This amendment establishes soft annual limits of $500 on radiology and diagnostic laboratory services, respectively.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-22-0001
State: North Dakota
Summary: Amends the State Plan to implement an inflationary increase for Psychiatric Residential Facility Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-22-0009
State: Arkansas
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to authorize lump sum payments to State plan HCBS providers for services provided during the PHE, as described in Arkansas’ approved Section 9817 spending plan.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-22-0003
State: North Dakota
Summary: The purpose of this amendment is to amend the State Plan to assure coverage of items and services furnished in connection with a qualified clinical trial.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT