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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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Showing 161 to 170 of 266 results
Transmittal Number: IN-14-004
State: Indiana
Summary: Extends the nursing facility quality assessment fee enhanced reimbursement provisions through June 30, 2017, makes changes to direct care services and supplies, and makes changes to requirements for reporting when there is a nursing facility change in ownership.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: IN-13-004-MM4
State: Indiana
Summary: Updates Single State Agency.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: IN-13-005
State: Indiana
Summary: This SPA extends a 5% reduction in Medicaid payments for Nursing Facility services and a 3% reduction in Medicaid payments for Intermediate Care Facilities for the Developmentally Disabled services. This SPA reduces the NF reduction at 3% and reduces the ICF/IID and CRF/DD reduction to 1%.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: GU-14-001
State: Guam
Summary: Medicaid Alternative Benefit Plan for the New Adult Group.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Financing & Reimbursement
  • Managed Care
  • Program Administration
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Transmittal Number: GU-14-02 A
State: Guam
Summary: ABP Cost Sharing Charges.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
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Transmittal Number: GU-14-05-MM1
State: Guam
Summary: Establishes Mandatory Coverage Adult Group up to 133% FPL.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: IN-13-013
State: Indiana
Summary: 1915(i) State Plan Home and Community-Based Services (HCBS), Behavioral and Primary Healthcare Coordination Services; and IN.02.001 - Amendment to 1915(b)(4) waiver, Adult Mental Health Habilitation and Behavioral and Primary Healthcare Coordination Services
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: IN-13-012
State: Indiana
Summary: Conversion to from 209(b) to 1634 status, adoption of optional ABD category to 100% FPL, and implementation of income disregards for the Medicare Savings Program to increase QMB to 150% FPL, SLMB to 170% FPL, and QI to 185% FPL.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: GU-14-03
State: Guam
Summary: Updates the State Plan to align Guam's reimbursement methodology with the ervices provided in its Alternative Benefit Plan (ABP).
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: IN-14-002
State: Indiana
Summary: Clarifies that only Community Mental Health Centers (CMHCs) are allowed to provide MRO services.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Program Administration
Links:
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