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 341 to 350 of 517 results
Transmittal Number: VA-14-019
State: Virginia
Summary: Adopts a price-based prospective payment system for Virginia nursing facility services that will transition from RUG-III 34 Medicaid grouper to the RUG-IV 48 grouper.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-13-0015-MM
State: Oregon
Summary: Describes Single State Agency's Delegation of Appeals and Determinations in Accordance with Affordable Care Act and Updates State's Organizational Structure.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VA-15-0021
State: Virginia
Summary: Amends MAGI-Based Eligibility Group Options for Coverage of Individuals Eligible for Family Planning S59 by Increasing Maximum Income Standard to 200% FPL.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-14-08
State: Oregon
Summary: This SPA updates the description of extended services to pregnant women in the Medicaid State plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VA-14-021
State: Virginia
Summary: This SPA replaces the existing DRG classification system for inpatient hospital services with a more refined grouper that recognizes the differences in severity of illness - the 3M APR-DRG.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-15-01
State: Oregon
Summary: This SPA includes three new provider types for the newly covered Applied Behavior Analysis treatment.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-14-0010
State: Oregon
Summary: This filing brings the ABP benefit package into alignment with the State Plan for 2014.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VA-14-06
State: Virginia
Summary: Type one physicians supplemental payments.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VA-13-02
State: Virginia
Summary: Supplemental payments for services provided by type one physicians.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-14-09
State: Oregon
Summary: This SPA ends the health home program authorized under section 1945 of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT