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.

Results

Displaying 301 - 310 of 15750

Virginia

This plan amendment will make supplemental payments through an adjustment to the formula for indirect medical education (IME) reimbursement, using managed care discharge days, for an acute care hospital chain with a level one trauma center.

Approval Date: January 6, 2025
Effective Date: November 1, 2024

Ohio

This plan amendment updates rates for Hospice Care.

Approval Date: January 6, 2025
Effective Date: October 1, 2024

Pennsylvania

This plan amendment authorizes the Department to make Medical Assistance Day One Incentive (MDOI) payments to qualified nonpublic nursing facilities.

Approval Date: January 6, 2025
Effective Date: October 1, 2024

Texas

This plan amendment updates the Physician and Other Practitioners fee schedule, effective October 1, 2024.

Approval Date: January 6, 2025
Effective Date: October 1, 2024

Arizona

This SPA updates the fee schedule rates for all AZ non-institutional services, other than Outpatient hospital services, paid via fee schedule.

Approval Date: January 6, 2025
Effective Date: October 1, 2024

Arizona

This plan amendment updates Emergency Medical Transport (EMT) rates.

Approval Date: January 6, 2025
Effective Date: October 1, 2024

Pennsylvania

This plan amendment authorizes the Department to make a supplemental payment to certain nonpublic nursing facilities in a county of the first class.

Approval Date: January 6, 2025
Effective Date: October 1, 2024

Iowa

Through this SPA, the state modifies its income levels in both its separate CHIP and title XXI funded Medicaid expansion program for children from ages 0 to 1.

Approval Date: January 6, 2025
Effective Date: January 1, 2025

Maine

This amendment was submitted to remove electronic visit verification (EVV) for hospice services.

Approval Date: January 3, 2025
Effective Date: October 25, 2024
Topics: Program Administration

Connecticut

This amendment is to update State Plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.

Approval Date: January 2, 2025
Effective Date: October 1, 2024
Topics: Medicaid and CHIP Program (MACPro) Program Administration