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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 271 to 280 of 489 results
Transmittal Number: MT-15-0023
State: Montana
Summary: Removes nonprescription bronchosaline and nonprescription pyridoxine from the excludable-but-covered nonprescription drugs section of the prescribed drugs pages.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: MT-15-0028
State: Montana
Summary: Incorporates reimbursement requirements for Hospice Care adopted in the federal Medicare regulations.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: MT-15-0033
State: Montana
Summary: Eliminates a 40-hour limitation per state fiscal year for occupational, physical and speech therapy services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MT-15-0032
State: Montana
Summary: Adds hospital presumptive eligibility to Montana Medicaid.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: MT-15-0021
State: Montana
Summary: Added introduction page.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: MT-15-0011
State: Montana
Summary: Gives Authority to the Confederated Salish and Kootenai Tribe (CSKT) of the Flathead Reservation to Determine Medicaid Eligibility.
Approval Date:
Effective Date:
Topics:
Links:
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Transmittal Number: MT-15-0025
State: Montana
Summary: Incorporates the MAGI-Based Adult Group and Parents and Other CareTaker Relatives Into Montana Medicaid State's Plan in Accordance with the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: MT-15-0020
State: Montana
Summary: Updates the reimbursement methodology for inpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MT-15-0007
State: Montana
Summary: This amendment implements legislative funding for nursing facility reimbursement; updates references to reflect the current fiscal year; updates the current statewide median price; updates the current fiscal year for the direct care wage component of the rate; and provides for other minor clarifications.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: MT-08-021
State: Montana
Summary: Reimbursement update for TCM for Children and Youth with Special Health Care Needs.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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