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 421 to 430 of 498 results
Transmittal Number: OR-10-012
State: Oregon
Summary: Adds home and community-based services (HCBS) to the Medicaid State plan for individuals with chronic mental illness, under the authority of Section 1915(i) of the Social Security Act (the Act).
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-11-015
State: Oregon
Summary: This amendment combines the responsibilities of the drug utilization review (DUR) board with the Pharmacy and Therapeutics Committee.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-11-009
State: Oregon
Summary: This amendment reduces the pharmacy dispensing fee claim volumes.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-12-012
State: Indiana
Summary: Add limited exclusions to the list of excluded drugs available to dual eligible individuals.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-11-012
State: Oregon
Summary: Revises coverage for dental service.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Dental
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-11-003
State: Indiana
Summary: Extension of the 5% rate reduction to Medicaid payments made to Home Health providers for dates of service beginning July 1, 2011 and ending June 30, 2013.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-11-015
State: Indiana
Summary: This SPA makes conforming changes to the State Plan to establish an additional payment for in-state hospitals that have a high volume.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-11-014
State: Indiana
Summary: The attached pages offer affirmation that the State of Indiana does not prohibit curative treatment upon the election of the hospice benefit by or on behalf of a Medicaid or CHIP eligible child.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-11-002
State: Indiana
Summary: Reduction of Pharmacy Dispensing Fee from $4.90 to $3.00.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-11-010
State: Oregon
Summary: Revised to designate the Medical Assistance Director as the authorized state plan submitter.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT