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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 51 to 60 of 503 results
Transmittal Number: VA-23-0009
State: Virginia
Summary: Removes the federal requirement that practitioners obtain a DATA-Waiver or X-Waiver to prescribe medications, like buprenorphine, to treat patients with opioid use disorder, in accordance with Section 1262 of the Consolidated Appropriations Act, 2023. Providers who have a current license to practice and a Drug Enforcement Administration (DEA) registration authorizing the prescribing of Schedule III drugs may prescribe buprenorphine for the treatment of opioid use disorder or pain management.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-23-0018
State: Mississippi
Summary: This amendment is to renew Mississippi’s 1915(i) State Plan HCBS benefit. 
Approval Date:
Effective Date:
Topics:
  • Home and community based services
  • Benefits
  • Targeted Case Management
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-23-0013
State: Mississippi
Summary: This amendment proposes to allow the state to add coverage for selected drugs that treat obesity
Approval Date:
Effective Date:
Topics:
  • Prescribed Drugs
Links:
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Transmittal Number: MS-23-0011
State: Mississippi
Summary: This amendment proposes to allow the Division of Medicaid (DOM) to remove copays from Medicaid services.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VA-23-0007
State: Virginia
Summary: To implement a new state-based exchange (SBE). Functions previously handled by the Federally Facilitated Marketplace will be moved to Virginia's SBE.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-23-0010
State: Mississippi
Summary: Allows the Division of Medicaid (DOM) to continue the same PDN rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MS-23-0019
State: Mississippi
Summary: This plan amendment was submitted to allow the Division of Medicaid (DOM) to continue the fifteen percent (15%) increase for Prescribed Pediatric Extended Care (PPEC) facilities that were made effective October 1, 2022 beyond the end of the federal Public Health Emergency.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MS-23-0009
State: Mississippi
Summary: This amendment proposes to allow the Division of Medicaid (DOM) to revise the education and experience requirements for Early Intervention case managers, effective April 1, 2023.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: VA-23-0003
State: Virginia
Summary: To adopt the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, Pub. L. No. 115-217, section 1002.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: VA-23-0010
State: Virginia
Summary: This plan amendment updates the average commercial rate calculation of supplemental payments for physicians affiliated with Type One Hospitals in Virginia.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT