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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 391 to 400 of 498 results
Transmittal Number: OR-12-009
State: Oregon
Summary: This SPA was submitted to reflect an increase to some Durable Medical Equipment rates due to a legislative budget adjustment in SB 5701-A.
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Transmittal Number: OR-12-007
State: Oregon
Summary: This SPA adds Non-Traditional Healthcare Workers under the supervision of a licensed health care professional to the Medicaid State plan.
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Transmittal Number: OR-12-008
State: Oregon
Summary: Adds an option to FQHC clinics to receive an Alternate Payment Methodology (APM) for reimbursement.
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Transmittal Number: IN-12-008
State: Indiana
Summary: Disability Reviews.
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Transmittal Number: OR-12-02
State: Oregon
Summary: Updates Methods of Assuring Transportation, to reflect the current, long-standing, statewide use of non-emergency medical transportation brokers under a 1915(b) waiver, to arrange transportation and to reimburse for all but two types of transportation-related costs.
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  • Financing & Reimbursement
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Transmittal Number: IN-12-005
State: Indiana
Summary: Identification of hospital-acquired conditions and other provider-preventable conditions and modification of the reimbursement policy.
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  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: IN-12-002
State: Indiana
Summary: Identification of health care-acquired conditions and other provider-preventable conditions for non-payment.
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  • Program Administration
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Transmittal Number: OR-11-016
State: Oregon
Summary: This transmittal is being submitted to implement changes to prevent the payment of Provider Preventable Conditions. These are conditions that would have been reasonably avoided through the application of evidence-based practices.
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Transmittal Number: OR-12-004
State: Oregon
Summary: This transmittal is being submitted to implement Section 6401(a) of the Affordable Care Act-provider screening and enrollment assurances.
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Transmittal Number: IN-11-020
State: Indiana
Summary: This SPA makes conforming changes to the State Plan to implement changes made to the Indiana Code at IC 12-15-13-4 by HEA 1001 (2011) that directs OMPP to issue a final recalculated Medicaid rate due to an audit after the reconsideration period rather than waiting until all the appeal rights under 405 IAC 1-1.5-2 have been exhausted, increases Medicaid reimbursement to nursing facilities fur initiatives that promote and enhance improvements in quality of care to nursing facility residents, extends the effective dates of various rate parameters and limitations, increases administrative reimbursement, and clarifies provider cost classification and reporting issues.
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Effective Date:
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  • Financing & Reimbursement
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