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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 381 to 390 of 498 results
Transmittal Number: IN-12-007
State: Indiana
Summary: Updates International Classification of Diseases (ICD) Codes and Also Deletes Reference to Targeted Case Management (TMC) Except for Recipients with Elevated Blood Lead Levels.
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Topics:
  • Program Administration
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Transmittal Number: IN-12-010
State: Indiana
Summary: Implement a new licensure level of intermediate Care Facility for the Mentally Retarded (ICF/MR). The new licensure level will be called Comprehensive Rehabilitative Management Needs Facility (CRMNF).
Approval Date:
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Topics:
  • Benefits
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Transmittal Number: OR-13-01
State: Oregon
Summary: Excludes barbiturates "used in the treatment of epilepsy, cancer, or a chronic mental health disorder" and benzodiazepines in Part D drug coverage.
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Transmittal Number: IN-12-011
State: Indiana
Summary: This SPA makes conforming changes to the State Plan to implement changes made to 405 IAC 1-12 and 405 IAC 1-14.6, limiting certain nursing facility rental costs and other administrative changes to nursing facility and ICF/MR reimbursement.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: IN-12-006
State: Indiana
Summary: Implements a Program of All-Inclusive Care for the Elderly.
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Transmittal Number: IN-11-008
State: Indiana
Summary: Provides Ambulatory Supplemental Payments.
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Transmittal Number: IN-12-014
State: Indiana
Summary: Adds Presumptive Eligibility to Family Planning Services.
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Topics:
  • Benefits
  • Eligibility
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Transmittal Number: OR-12-015
State: Oregon
Summary: This SPA was submitted in response to a CMS companion letter issued September 25, 2012 with the approval of SPA 12-009. This filing clarifies the amount, duration and scope of the following plan services: home health; private duty nursing; occupational, physical, and speech therapies.
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Transmittal Number: OR-12-12
State: Oregon
Summary: This SPA was submitted to reflect specified provider rate reductions to comply with budget limitations. An analysis was performed on this SPA in reference to access of care, and was determined satisfactory.
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Transmittal Number: OR-12-010
State: Oregon
Summary: This SPA was submitted to reflect a change to the date for the published fee schedule for Targeted Case Management for (TCM) Medicaid High Risk Infants and Children.
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