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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 21 to 30 of 204 results
Transmittal Number: AL-23-0002
State: Alabama
Summary: This SPA is 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
  • Coverage
Links:
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Transmittal Number: AL-22-0009
State: Alabama
Summary: This amendment proposes to provide services to identified recipients under age 21 to improve family functioning by clinically stabilizing the living arrangement, promoting reunification, or preventing the utilization of out-of-home therapeutic venues (i.e., psychiatric hospitals, psychiatric residential treatment facilities, or residential treatment services).
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-23-0001
State: Alabama
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to waive the signature requirements for the dispensing of drugs during the Covid-19 Public Health Emergency.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Prescribed Drugs
Links:
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Transmittal Number: AL-22-0003
State: Alabama
Summary: This amendment will provide enhancement payments to eligible ground emergency medical transport (GEMT) providers by implementing an add-on reimbursement fee to the base rates for eligible emergency medical transportation services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: AS-22-0003
State: American Samoa
Summary: This amendment preserves approved coverage of prescription drugs, dentures, and prosthetic devices while resolving a technical duplicate page number issue in Attachment 3.1A.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: AL-22-0012
State: Alabama
Summary: The primary purpose for this amendment is to allow the Alabama Medicaid Agency to apply the reimbursement methodology for inpatient and

outpatient hospital services for State fiscal year 2023 in a manner consistent with that used in fiscal year 2022.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: AL-22-0007
State: Alabama
Summary: This SPA provides Alabama with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: AL-22-0010
State: Alabama
Summary: This purpose of this amendment is to seek an exception to 42 CFR 455.502(b), the Medicaid Recovery Audit Contractor (RAC) program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AS-22-0002
State: American Samoa
Summary: This SPA waives American Samoa from participation in the Medicaid Drug Rebate Program (MDRP) under the authority of 1902(j) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Drugs and Related Services
Links:
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Transmittal Number: AL-22-0014
State: Alabama
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to increase payments for nursing facilities and to allow supplemental payment to all Nursing Facilities during the COVID-19 state of emergency.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT