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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 31 to 40 of 350 results
Transmittal Number: AK-23-0011
State: Alaska
Summary: This SPA is to memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Alaska's state plan, and make related changes to other eligibility groups covered under its state plan.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AK-23-0009
State: Alaska
Summary: This SPA updates the effective date and fee-schedules for Ambulatory Surgical Clinic Services, In-home Peritoneal Services, Physician Services, Licensed Behavior Analysts, Substance Use Rehabilitation Services, Personal Care Services, Personal Care Services for Community First Choice Option, Chore Services for Community First Choice Option, and Long Term Services and Supports (LTSS) Targeted Case Management.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0039
State: Vermont
Summary: This amendment specifies that select incontinence supplies must be supplied by the statewide contracted vendor unless prior authorized.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Home Health
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0041
State: Vermont
Summary: This Alternative Benefit Plan (ABP) adds Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT) and Paramedic provider types to ensure coverage authority for ambulance treatment without transport.  This aligns the state’s ABP with approved SPA 23-0037.
Approval Date:
Effective Date:
Topics:
  • ABP
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0031
State: Vermont
Summary: This SPA proposes to amend the state's excluded drug coverage listing.
Approval Date:
Effective Date:
Topics:
  • Covered Outpatient Drug
  • Coverage
  • Prescribed Drugs
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0033
State: Vermont
Summary: This amendment proposes to increase the annual dental cap for adults from $1,000 to $1,500 and to allow emergency dental services for adults to be covered after the annual cap on dental expenditures has been met.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Dental
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0007
State: Vermont
Summary: This amendment proposes to add targeted case management coverage for the Sustained Family Support Home Visiting Program using the evidence-based home visiting model, Parents as Teachers (PAT).
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0037
State: Vermont
Summary: This amendment proposes to add Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT) and Paramedic provider types.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0009
State: Vermont
Summary: This amendment establishes Vermont’s ability to enter into value-based supplemental rebate agreements with drug manufacturers.
Approval Date:
Effective Date:
Topics:
  • Covered Outpatient Drug
  • Prescription Drugs
  • Additional Rebate
  • Supplemental Rebates and Managed Care
  • Value Based Purchasing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0004
State: Vermont
Summary: This SPA provides Vermont with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT