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 201 to 210 of 441 results
Transmittal Number: SD-20-0005
State: South Dakota
Summary: extends the supplemental payment for qualifying, private hospitals, for an

additional year.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SD-20-0002
State: South Dakota
Summary: Provides separate reimbursement of high cost prescription drugs outside of the IHS/Tribal encounter rate
Approval Date:
Effective Date:
Topics:
  • Reimbursement
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-20-0005
State: Kansas
Summary: OneCare Kansas - Asthma to provide selected Medicaid members with a new set of six services
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
  • Health Services Initiatives
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS 20-0013
State: Kansas
Summary: Adds services available in State’s Health Homes program to enrollees in Kansas’ Working Healthy Program 
Approval Date:
Effective Date:
Topics:
  • Outreach & Enrollment
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-20-0004
State: Kansas
Summary: Provides selected Medicaid memebers with a new set of six services. OnceCare Kansas services will be provided through a partnership between KanCare managed care organizations (MCOs) (lead entities) and community providers (OneCare Kansas Partners - OCKP). the six new services will be provided in addition to the other services that memebers recevin in Medicaid. These new services will be available to member with Serious Mental Illness (SMI).
Approval Date:
Effective Date:
Topics:
  • Health Homes
  • Managed Care
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-19-0023
State: Kansas
Summary: To update Kansas’ alternative single streamlined online and paper applications.  This SPA is being sent with a companion letter to memorialize the timeline agreed to for additional required changes to Kansas' paper and online applications.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-20-0008
State: Kansas
Summary: Adds "State Institutional Alternative (SIA)" to the Medicaid state plan
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-20-0014
State: Kansas
Summary: This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to authorize a supplemental payment of $20/day to nursing facilities. These payments will be retroactive to March 13 and will expire after 120 days or on the day the public health emergency ends, whichever occurs first.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-20-0009
State: Kansas
Summary: Replaces manual pricing rules with a fee schedule of reimbursement codes for Total Parental Nutrition (TPN)
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SD-20-0003
State: South Dakota
Summary: This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to waive cost-sharing for testing services, testing-related services and treatments of COVID-19 and suspend the face-to-face requirements for community mental health centers.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Cost Sharing
  • Eligibility
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT