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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 41 to 50 of 546 results
Transmittal Number: OK-23-0008
State: Oklahoma
Summary: Amendment to add provisions to comply with the requirements of 42 CFR Part 447, Subpart A, and sections 1902(a)(4),1902(a)(6), and 1903 with respect to non-payment for provider-preventable conditions.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: OK-23-0011
State: Oklahoma
Summary: This state plan amendment aligns payment for certain prescription drugs with Medicare Part B.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: OK-23-0026
State: Oklahoma
Summary: This amendment proposes to revise the State's Supplemental Rebate Agreement to update the applicable date of the new Sovereign States Drug Consortium (SSDC) rebate agreement.
Approval Date:
Effective Date:
Topics:
  • Rebate/Reimbursement Updates
Links:
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Transmittal Number: IN-23-0015
State: Indiana
Summary: This amendment grants an exemption to the requirement for Indiana to contract recovery audit services to a third party.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: IN-23-0002
State: Indiana
Summary: This amendment renews Indiana’s 1915(i) State Plan HCBS benefit.
Approval Date:
Effective Date:
Topics:
  • Home and community based services
Links:
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Transmittal Number: IN-23-0007
State: Indiana
Summary: This amendment adds enhanced mobile crisis services to the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: OK-23-0007
State: Oklahoma
Summary: This amendment updates the State's Alternative Benefit Plan (ABP) to add managed care organizations (MCO) and prepaid ambulatory health plans (P AHP) for expansion adults.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: IN-23-0005
State: Indiana
Summary: The SPA exempts structured family caregiver payments as countable income in determining income eligibility for most non-MAGI based eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
  • Eligibility
Links:
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Transmittal Number: IN-23-0006
State: Indiana
Summary: This amendment (1) allows Indiana Medicaid to reimburse for medically necessary nursing services in school-based services pursuant to a Medicaid enrolled student's educational program or plan as required by the Individuals with Disabilities Education Act (IDEA) or Section 504 of the federal Rehabilitation Act of 1973. 29 U.S.C. 794 and (2) includes coverage for school psychologist testing services if done by a licensed individual and school-based transportation for children under IDEA.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
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Transmittal Number: IN-23-0008
State: Indiana
Summary: This amendment will require managed care entities (MCEs) contracted with the State of Indiana follow a statewide uniform preferred drug list.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT