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 141 to 150 of 327 results
Transmittal Number: MS-20-0026
State: Mississippi
Summary: Replaces the Attorney General Certificate with the signature of the current Attorney General, Lynn Fitch.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-20-0013
State: Mississippi
Summary: Allows the Division of Medicaid to add coverage of licensed pharmacists under the Other Licensed Practitioners (OLP) for vaccine administration.
Approval Date:
Effective Date:
Topics:
  • Vaccine
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PR-20-0014
State: Puerto Rico
Summary: Modifies the income disregard categorically needy and medically needy groups covered 
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PR-20-0013
State: Puerto Rico
Summary: Eliminates changes made by PR SPA 20-0011 and documents that the Puerto Rico Local Poverty Level will return to the levels in effect prior to SPA 20-0011
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PR-20-0012
State: Puerto Rico
Summary: Temporarily modifies the income disregard categorically needy and medically needy eligibility groups in the Puerto Rico Medicaid program. 
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PR-20-0011
State: Puerto Rico
Summary: Temporarily modifies the Puerto Rico Local Poverty Level.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-20-0009
State: Mississippi
Summary: This amendment proposes to allow the Division of Medicaid (DOM) to add language to include the cost avoidance of prenatal claims in compliance with the Bipartisan Budget Act of 2018, to update the language describing data exchanges with other agencies, add the process for providers to request an override of the third party liability edit and update the code reference to ICD-10-CM, effective October 1, 2020.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-20-0021
State: Mississippi
Summary: Updates the out-of-state transplant rates as published in the Milliman U.S. Organ and Tissue Transplant Cost Estimates and Discussion
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-20-0016
State: Mississippi
Summary: This plan amendment was submitted to increase the fee schedule rate to 100% of the Medicare urban ambulance fee schedule for emergency ground transportation services as well as add a mileage component for emergency transportation services. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-20-0006
State: Mississippi
Summary: Removes the annual Autism Spectrum Disorder rate updates and to specify that the rates will remain the same as those that were in effect
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT