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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.
Summary: This SPA attests to the state’s coverage of COVID-19 testing, as required by section 1905(a)(F)(4) of the Social Security Act. CMS supports this change, as it is required by statute.
Summary: The SPA attests to the state’s coverage of COVID-19 treatment, as required by section 1905(a)(4)(F) of the Social Security Act. CMS supports this change, as it is required by statute.
Summary: Tennessee is submitting this SPA to transfer responsibilities for surveying healthcare facilities in Tennessee from the Department of Health to the Health Facilities Commission (HFC).
Summary: State’s compliance with Division CC, Title II, Section 210 of the Consolidated Appropriations Act (2021), which requires mandatory Medicaid coverage of routine patient costs furnished in connection with participation in qualifying clinical trials.
Summary: This SPA proposes that the state may not adjust the patient liability of an individual receiving Medicaid Coverage for certain long-term services and supports during the COVID-19 based on public health emergency.
