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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 241 to 250 of 488 results
Transmittal Number: MT-17-0011
State: Montana
Summary: Reimbursement update for Eligibility Groups-Mandatory Coverage Former Foster Care Children.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: AS-17-001
State: American Samoa
Summary: This amendment proposes coverage and reimbursement of emergency and certain other medical services furnished by off-island and out-of-country providers, effective April 1, 2017.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MT-17-0010
State: Montana
Summary: Reimbursement update for Parent/Caregiver Relative.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MT-16-0006
State: Montana
Summary: Reimbursement update for Outpatient Drug Services.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: MT-16-0017
State: Montana
Summary: Reimbursement update for Inpatient Hospital Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MT-15-0016
State: Montana
Summary: This amendment will exclude retirement accounts established while the account owner was receiving coverage under section 1902(a)(10)(A)(ii)(XIII), and disregard those accounts in resource eligibility determination for specified eligibility categories.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: MT-13-012
State: Montana
Summary: Modifies coverage pages to provide more detail about services. In both FFY 2013 and FFY 2014, 2% increase for Direct Care Wage, and 2% for Provider Rate Increase.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: MT-15-0029
State: Montana
Summary: This amendment will add autism services for Montana Medicaid members up to age 21.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: AS-16-001
State: American Samoa
Summary: This amendment adds FQHC services and a reimbursement methodology to the state plan.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: MT-16-0007
State: Montana
Summary: This amendment permits Montana to provide continuous Medicaid eligibility for children under the age of 19 for a full year, regardless of whether the childcontinuously meets all eligibility requirements during the continuous eligibility period.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT