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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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Transmittal Number: CO-09-012
State: Colorado
Summary: Modification To Total State Funds Available In State Fiscal Year 2008-09.
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Transmittal Number: SD-09-007
State: South Dakota
Summary: Clarify Reimbursement Methodology, Remove Obsolete Timelines & Reimbursement Provisions.
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Transmittal Number: SD-09-004
State: South Dakota
Summary: Updates Inpatient Hospital Reimbursement Methodology for DSH Program.
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Transmittal Number: CO-09-006
State: Colorado
Summary: Methods and Standards for Voluntary Primary Care Case Management Program.
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Transmittal Number: CO-09-035
State: Colorado
Summary: Medicaid Outpatient Hospital and Supplemental Medicaid Outpatient Hospital Payments Revised.
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Transmittal Number: CO-07-014
State: Colorado
Summary: Nursing Home Visitor Program.
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Transmittal Number: CO-08-009
State: Colorado
Summary: TCM Services.
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    Transmittal Number: CO-08-007
    State: Colorado
    Summary: Bringing State Plan into compliance relating to setting administration and general reimbursement to a price; removing 8% per year limitation on the growth of health care costs; adding payments for cognitive loss/dementia and ABI, Level II PASRR residents, quality performance and authority to charge and collect a provider fee.
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    Transmittal Number: CO-05-017
    State: Colorado
    Summary: Physician Supplemental Payment/Government Hospital.
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    Transmittal Number: CO-22-0040
    State: Colorado
    Summary: increased federal financial participation (FFP) for newly-eligible individuals receiving postpartum coverage and further includes the addition of Attachment D, which describes the special circumstances and other proxy adjustments that are applied to account for

    the proportion of individuals covered under the extended postpartum coverage option who would otherwise be eligible for coverage in the adult group and for the newly eligible FFP under section 1905(y) of the Social Security Act;
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    • Federal Financial Participation
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