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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 121 to 130 of 248 results
Transmittal Number: VA-17-024
State: Virginia
Summary: Identifies the requirements for licensure, certification, or accreditation that Home Health Agencies (HHAs) must meet to participate as a provider of home health services in Virginia Medicaid.
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Topics:
  • Program Administration
Links:
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Transmittal Number: VA-17-006
State: Virginia
Summary: Establishing supplemental payments for intern & resident slots at teaching hospitals, and modifying state psych DSH.
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  • Financing & Reimbursement
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Transmittal Number: VA-17-0021
State: Virginia
Summary: Virginia no longer has the authority to cover the former foster care youth from out of state under the State Plan.
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  • Program Administration
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Transmittal Number: VA-17-027
State: Virginia
Summary: This SPA provides for private duty nursing, assistive technology, and personal assistance services under EPSDT.
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  • Benefits
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Transmittal Number: VA-17-020
State: Virginia
Summary: No outpatient hospital inflation adjustment for state fiscal year 2018 with the exception of 100% of inflation to the Children's Hospital of the King's Daughters.
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  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: VA-16-001
State: Virginia
Summary: Revises the therapies section and the rehabilitative services section of the state plan to reflect updates in the provision of inpatient and outpatient rehabilitation services and provider documentation requirements.
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  • Benefits
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Transmittal Number: VA-17-022
State: Virginia
Summary: Updates the Code of Federal Regulation (CFR) citations from 42 CFR $484.36 to 42 CFR $484.80 that is referenced for home health aide and hospice requirements.
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  • Financing & Reimbursement
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Transmittal Number: VA-17-019
State: Virginia
Summary: The purpose of SPA 17-019 is to implement peer support services for children and adults who have mental health conditions and/or substance use disorders.
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  • Benefits
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Transmittal Number: VA-17-009
State: Virginia
Summary: To add text to the State Plan regarding reimbursement practices for community mental health services and to reflect the inclusion of updated dental procedure codes in the agency's fee schedule.
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  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: VA-17-015
State: Virginia
Summary: Removes the 26-visit limit from outpatient psychiatric services from the State Plan in accordance with the mental health parity provision.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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