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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 451 to 460 of 460 results
Transmittal Number: OR-09-15
State: Oregon
Summary: Updates the State Plan by limiting the administrative.
Approval Date:
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Topics:
  • Financing & Reimbursement
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Transmittal Number: OR-09-07 S
State: Oregon
Summary: Splits the current Developmentally Disabled Targeted Case Management program for Medicaid beneficiaries with developmental disabilities into two programs.
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Effective Date:
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  • Program Administration
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Transmittal Number: OR-09-11
State: Oregon
Summary: Requires a Prior Authorization for non-preferred drug use.
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Effective Date:
Topics:
  • Prescription Drugs
  • Program Administration
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Transmittal Number: DC-09-04
State: District of Columbia
Summary: Medicaid DRA State Plan Amendment to Extend the Look Back Period.
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Transmittal Number: OR-09-14
State: Oregon
Summary: Revised to exempt from copayment all Nicotine Replacement therapy products.
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Effective Date:
Topics:
  • Financing & Reimbursement
  • Prescription Drugs
  • Program Administration
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Transmittal Number: OR-09-12
State: Oregon
Summary: Limits optional Medicaid dental benefits to non-pregnant adults.
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Topics:
  • Benefits
  • Dental
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Transmittal Number: OR-09-13
State: Oregon
Summary: Revision to the State Plan to eliminates routine vision services and material to non-pregnant adults age 21 and older, except for clients with specific medical diagnoses.
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  • Benefits
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Transmittal Number: DC-09-05
State: District of Columbia
Summary: Cooperation with the CMS Medicaid Integrity Program - DRA Section 6034.
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Transmittal Number: OR-09-009
State: Oregon
Summary: Extend Eligibility For Transitional Medical Assistance Eligibles for 12 Months.
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Transmittal Number: DC-11-010
State: District of Columbia
Summary: This SPA proposes changes to the District's disproportionate share hospital payment program. Specifically, this plan continues the previously approved recovery and redistribution methodology for DSH payments in excess of hospital-specific-limits. Additionally, this SPA eliminates one of two reductions to DC's annual DSH allotment that allowed DC to expand coverage under approved Medicaid Waivers and eliminates language that made an additional $12.5 million payment to a specific qualified DSH facility. The $12.5 million becomes part of the distribution pool for all DSH hospitals.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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