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 1 to 10 of 88 results
Transmittal Number: NE-22-0012
State: Nebraska
Summary: Implements an increase for provider rates of non-behavioral health outpatient services and behavioral health outpatient services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-22-0009
State: Nebraska
Summary: SFY23 Nursing Facility Rates
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-22-0011
State: Nebraska
Summary: Updates Inpatient Provider Rates for SFY 2023.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-21-0010
State: Nebraska
Summary: This amendment updates Inpatient Provider Rates for SFY 2022.  
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-21-0015
State: Nebraska
Summary: Provides coverage of claim payments for third party liability coverage.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-21-0009
State: Nebraska
Summary: Intermediate Care Facility for Individuals with Developmental Disabilities (ICF-DD) Rates
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-21-0011
State: Nebraska
Summary: updates outpatient and professional provider rates for SFY 2022.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-21-0007
State: Nebraska
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment for nursing facilities to receive an additional $20 per day payment per Medicaid beneficiary effective from the dates of January 1, 2021 to June 30, 2021.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VI-20-0004
State: Virgin Islands
Summary:  This amendment proposes adding coverage and payment methodology of Personal Care Attendant Services (PCAP) in the U.S. Virgin Islands Medicaid program, approved initially on March 25, 2021.  At the time of approval, the end of the PHE was not known.  Now that the date is known, this SPA has been updated to reflect an effective of May 12, 2023.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-20-0016
State: Nebraska
Summary: Effective September 1, 2020, this amendment provides targeted rate increases for providers of mental health and behavioral health services, specifically individual psychotherapy, substance use assessment, and day rehabilitation services. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT