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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 1 to 10 of 61 results
Transmittal Number: VI-24-0002
State: Virgin Islands
Summary: 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:
Effective Date:
Topics:
  • Program Administration
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: AK-24-0005
State: Alaska
Summary: This amendment is to update the state plan to waive the Recovery Audit Contractor (RAC) Program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AK-22-0008
State: Alaska
Summary: This amendment reflects the new organizational structure of the single state agency of Alaska.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AK-22-0006
State: Alaska
Summary: This amendment updates the state plan to waive the Recovery Audit Contractor (RAC) Program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: VI-21-0002
State: Virgin Islands
Summary: Amendment to attest to compliance with the NEMT provider and driver requirements.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AK-21-0009
State: Alaska
Summary: adds federally mandates transportation assurances and meets all the minimum requirements under Section 1902(a)(87) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AK-22-0002
State: Alaska
Summary: Updates the state supplemental program's income standards.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AK-21-0008
State: Alaska
Summary: modify rates payable to Indian Health Services and eligible tribal health facilities operating under P.L. 93-638.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Tribal/Indian Health Services
Links:
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Transmittal Number: AK-21-0005
State: Alaska
Summary: add licensed professional counselors to the Alaska Medicaid State Plan
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AK-21-0003
State: Alaska
Summary: Effective effective October 1, 2020 until September 30, 2025, this amendment implements the time-limited mandatory medication assisted treatment benefit (MAT) per section 1006(b) of the SUPPORT Act to address opioid addiction. Section 1006(b) of the SUPPORT for Patients and Communities Act (SUPPORT Act), signed into law on October 24, 2018, amended section 1902(a)(10)(A) of the Act to require state Medicaid plans to include coverage of MAT for all eligible to enroll in the state plan or waiver of state plan. Section 1006(b) also added a new paragraph 1905(a)(29) to the Act to include the new required benefit in the definition of “medical assistance” and to specify that the new required benefit will be in effect for the period beginning October 1, 2020, and ending September 30, 2025.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT