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 111 to 120 of 218 results
Transmittal Number: DC-18-010
State: District of Columbia
Summary: Allows the District to increase reimbursement rates for ground mileage and a number of emergency medical transportation services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-18-005
State: District of Columbia
Summary: Supplemental payments in Fiscal Year 2019 to Medicaid-enrolled physician group practices.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-18-008
State: District of Columbia
Summary: Modifies the State's methods and standards for setting intermediate care facility (ICFIID) payment rates.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-18-0004
State: District of Columbia
Summary: This allows CMS to review and verify the District of Columbia's financial methodologies for Non-MAGI eligibility determinations.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-18-002
State: District of Columbia
Summary: Update of the District's Medicaid State Plan to include a reference to the District's Dental Services Fee Schedule.
Approval Date:
Effective Date:
Topics:
  • Dental
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-18-003
State: District of Columbia
Summary: Formulates the Districtr's direct medical education policy for services provided through the managed care delivery system.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-18-001
State: District of Columbia
Summary: This amendment will authorize the District of Columbia to increase the per unit reimbursement rate for crisis/emergency service codes H2011 and H2011 HK.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-17-009
State: District of Columbia
Summary: Implements a price-based prospective payment system for nursing facility services and a quality improvement program with an optional QI payment program.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-16-010
State: District of Columbia
Summary: This SPA proposes to allow the District to provide nursing services for technology-dependent beneficiaries who require more individualized and continuous care than is available from a visiting nurse under the Skilled Nursing Home Health Services benefit or routinely provided by the nursing staff of a hospital or skilled nursing facility.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CNMI-17-001
State: Northern Mariana Islands
Summary: Updates Part 2 (Coverage and Eligibility) and authorizes a new spend-down program for the medically needy.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT