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 281 to 290 of 420 results
Transmittal Number: DC-14-014
State: District of Columbia
Summary: This SPA restructures and relocates language outlining provider preventable conditiona.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-15-007
State: Indiana
Summary: This SPA makes changes to the State Plan to document the State's Collection of Federal Medical Assistance Percentages (FMAP) funds available for expenditures for medical assistance furnished to individuals enrolled in the new adult group created by the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-15-0001-MM1
State: Indiana
Summary: Elect eligibility for the new adult group under Medicaid expansion.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-14-004
State: District of Columbia
Summary: Homeand Community+Base Service Option.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
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:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-14-005
State: District of Columbia
Summary: Evidence-Based Mental Health Rehabilitation Services for Children.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-14-007
State: District of Columbia
Summary: Medicaid Organ Transplant Services.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-13-004-MM4
State: Indiana
Summary: Updates Single State Agency.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-14-02
State: District of Columbia
Summary: Pharmacy Supplemental Rebate Agreement Program.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
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:
SHARE THIS MEDICAID STATE PLAN AMENDMENT