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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 371 to 380 of 515 results
Transmittal Number: MA-16-006
State: Massachusetts
Summary: The purpose of this State Plan Amendment is to submit a corrected organizational chart. The chart submitted with MA-15-005 contained an error.
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Transmittal Number: MA-14-028
State: Massachusetts
Summary: Adds coverage for services provided by a licensed applied behavioral analyst or assistant applied behavioral analyst to children under age 21.
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Topics:
  • Benefits
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Transmittal Number: MA-14-023
State: Massachusetts
Summary: Revises the rate year 2015 payments methodology for psychiatric hospital outpatient services.
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Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: MA-15-016
State: Massachusetts
Summary: Revises reimbursement for inpatient psychiatric services.
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  • Financing & Reimbursement
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Transmittal Number: MA-14-022
State: Massachusetts
Summary: Updates the reimbursement methodology for privately-owned inpatient hospital psychiatric services.
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  • Financing & Reimbursement
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Transmittal Number: MA-15-017
State: Massachusetts
Summary: Revises the approved Title XIX State Plan to describe the State's Asset Verification System that will be used to verify assets for determining or re-determining Medicaid eligibility for the aged, blind and disabled populations.
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  • Program Administration
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Transmittal Number: TN-16-0001
State: Tennessee
Summary: Requests a 12 month eligibility period for families under Transitional Medical Assistance in accordance with Section 1925 of the Social Security Act.
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Topics:
  • Eligibility
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Transmittal Number: MA-15-011
State: Massachusetts
Summary: Updates the language regarding coverage for the Designated Emergency Mental Provider/Emergency Service Program.
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  • Program Administration
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Transmittal Number: TN-15-0002
State: Tennessee
Summary: Updates the State Plan to reflect that the state has revised Supplemental Rebate Agreement that updates the existing SPA.
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  • Financing & Reimbursement
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Transmittal Number: MA-15-0009
State: Massachusetts
Summary: Revises MA's approved CarePlus ABP to allow MassHealth CarePlus members to enroll with either a PCC provider or a CarePlus MCD, without geographic restrictions on the number of available MCO plans.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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