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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 151 to 160 of 296 results
Transmittal Number: OR-19-0005
State: Oregon
Summary: Technical correction to remove Attachment 4.19-B pages 15-17.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: OR-19-0003
State: Oregon
Summary: Creates a new Targeted Case Management State Plan program for Public Health Nurse Home Visiting targeting Medicaid eligible infants through 6 months of age in Lincoln County.
Approval Date:
Effective Date:
Topics:
  • Health Homes
  • Program Administration
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Transmittal Number: OR-19-0001
State: Oregon
Summary: Revise rate standards for services in adult mental health residential facilities.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: OR-18-0007
State: Oregon
Summary: Updates the state plan to reflect recent changes to the Medicaid unit and organizational structure of the Oregon Health Authority.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
Links:
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Transmittal Number: OR-18-0008
State: Oregon
Summary: Revises the nursing home facility reimbursement rate to include ventilator-assisted units as part of the prospective payment rate methodology.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: OR-18-0006
State: Oregon
Summary: This SPA was submitted to add a Dental Services Pay for Performance supplemental payment program.
Approval Date:
Effective Date:
Topics:
  • Dental
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Transmittal Number: OR-18-0005
State: Oregon
Summary: This SPA sunsets the nursing facility bed reduction process as of June 30,2018, and sets the nursing facility reimbursement at the 62"d percentile of allowable costs for the period July l, 2018 to June 30, 2026.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: OR-18-0004
State: Oregon
Summary: This SPA seeks to make changes to the 1915(k) Community First Choice state plan option.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OR-18-0003
State: Oregon
Summary: This SPA updates the Hospital Presumptive Eligibility (HPE) application to align with the state's new eligibility system.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
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Transmittal Number: OR-17-0010
State: Oregon
Summary: This SPA creates the Ground Emergency Medical Transportation (GEMT) program.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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