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 141 to 150 of 341 results
Transmittal Number: OR-20-0018
State: Oregon
Summary: CMS is approving this time-limited state plan amendment to

respond to the COVID-19 national emergency. The purpose of this amendment is to increase certain payment rates and to allow additional providers the ability to order Home Health services including Durable Medical Equipment.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-20-0019
State: Oregon
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to continue the same stability payment rate method for Tribal 638 and Urban Indian Health programs into 2021 using the 2019, month actuals for 2020 and 202l until the PHE ends.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PR-20-0014
State: Puerto Rico
Summary: Modifies the income disregard categorically needy and medically needy groups covered 
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PR-20-0013
State: Puerto Rico
Summary: Eliminates changes made by PR SPA 20-0011 and documents that the Puerto Rico Local Poverty Level will return to the levels in effect prior to SPA 20-0011
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PR-20-0012
State: Puerto Rico
Summary: Temporarily modifies the income disregard categorically needy and medically needy eligibility groups in the Puerto Rico Medicaid program. 
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PR-20-0011
State: Puerto Rico
Summary: Temporarily modifies the Puerto Rico Local Poverty Level.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-20-0017
State: Oregon
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to reimburse providers for interpreters required for limited and non-English speaking members and/or deaf/hard of hearing members, when these services are necessary and reasonable to communicate effectively with members regarding health needs.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-20-0016
State: Oregon
Summary: creates a bariatric rate for nursing facilities and establishes CNA staffing ratio requirements related to the facilities' bariatric census. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PR-20-0010
State: Puerto Rico
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to provide coverage of Remdesivir and Convalescent Plasma therapy treatment for hospitalized patients with confirmed or suspected COVID-19.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-20-0003
State: Oregon
Summary: updates the allowance for a 29 percent increase to targeted case management (TCM) Services rates
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT