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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 1 to 10 of 17 results
Transmittal Number: OR-25-0007
State: Oregon
Summary: This amendment expands the Targeted Case Management Family Connects® Nurse Home Visiting program into Douglas County and revise the provider qualifications for the program.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-24-0017
State: Oregon
Summary: This SPA allows coverage of authorized drug imports when there is inadequate supply of the fully FDA-approved, non-imported drug product during a recognized critical drug shortage.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Prescribed Drugs
  • Prescription Drugs
Links:
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Transmittal Number: OR-24-0005
State: Oregon
Summary: This amendment authorizes additional provider types the Oregon state plan to include Licensed School Psychologist, Licensed School Social Worker and Licensed School Counselor as Medicaid allowable providers for services provided in the school setting.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-24-0003
State: Oregon
Summary: This amendment is to expand Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services in alignment with 1115 waiver renewal.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-24-0001
State: Alabama
Summary: The purpose of this amendment is to update the physician services benefit.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Benefits
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-23-0036
State: Oregon
Summary: This amendment complies with Section 11405 of the Inflation Reduction Act (IRA) adding new mandatory coverage of Medicaid adult vaccinations.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-23-0004
State: Alabama
Summary: This amendment is to update the requirements and qualifications needed to be a rehabilitative services provider.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
  • Preventative Services
  • Program Administration
Links:
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Transmittal Number: AL-23-0012
State: Alabama
Summary: This amendment proposes to allow audio only services through telemedicine as described in the Medicaid Telemedicine Policy.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-23-0002
State: Alabama
Summary: This SPA is to adopt the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, Pub. L. No. 115-217, section 1002.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-22-0009
State: Alabama
Summary: This amendment proposes to provide services to identified recipients under age 21 to improve family functioning by clinically stabilizing the living arrangement, promoting reunification, or preventing the utilization of out-of-home therapeutic venues (i.e., psychiatric hospitals, psychiatric residential treatment facilities, or residential treatment services).
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT