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 231 to 240 of 420 results
Transmittal Number: IN-16-0012
State: Indiana
Summary: This SPA adds licensed clinical addiction counselors to the type of practitioner that can provide outpatient mental health services and receive reimbursement under the physicians'fee schedule reimbursement methodology.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-16-0011
State: Indiana
Summary: The SPA establishes a single reimbursement rate for skin substitutes.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-16-005
State: Indiana
Summary: This SPA transitions the Indiana's Medicaid nursing facility Medicaid reimbursement system from the RUG III model to the RUG-IV, model for which the MDS 3.0 was designed.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-16-007
State: District of Columbia
Summary: Modifies the State's standards and methods for setting intermediate care facility payment rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-16-006
State: District of Columbia
Summary: Modifies the State's methods and standards for setting nursing facility payment rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-16-005
State: District of Columbia
Summary: Outpatient Hospital Supplemental Payment.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-16-004
State: District of Columbia
Summary: Dental Services.
Approval Date:
Effective Date:
Topics:
  • Dental
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-16-002
State: Indiana
Summary: Adds psychosocial rehabillitation services as a covered service under the Medicaid Rehabilitation Option program.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-16-008
State: Indiana
Summary: Makes conforming changes to the state plan to establish rates for services on or after July 1, 2016, at the same rates that were in effect for SFY 2016.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-15-0004
State: Indiana
Summary: Continues concurrent cost-sharing policies for the applicable state plan populations and documents the state's mechanism for tracking Healthy Indiana Plan 2.0 member cost sharing, which shall not exceed 5% of family income as calculated on a quarterly basis.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT