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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 291 to 300 of 489 results
Transmittal Number: MT-15-0013
State: Montana
Summary: Updates the fee schedule for TCM Services for Youth with Serious Emotional Disturbance and to move the rate reference to the Attachment 4.19B Introduction page.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: MT-15-0005
State: Montana
Summary: Updates the introduction page to Attachment 4.19B.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: MT-14-0042
State: Montana
Summary: Adds language to allow reimbursement for nursing facility services in Tribal 638 and Indian Health Services Facilities.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: MT-14-016
State: Montana
Summary: Increase in the 15 minute rate for Case Management Services for individuals with Developmental Disabilities, Ages 16 and over or who reside in a DD Children's Group Home.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: MT-13-0045-MM
State: Montana
Summary: This SPA implements the Affordable Care Act changes for citizenship and non-citizen eligibility, verifying the reasonable opportunity periods to provide verification of citizenship.
Approval Date:
Effective Date:
Topics:
  • Eligibility
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Transmittal Number: MT-13-037
State: Montana
Summary: Approximate 4% increase in the 15-minute rate, clarify the inflation factor, delete the old stages of the methodology when the monthly rate was converted to a 15-minute rate, and update the date of the fee schedule.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: AS-15-0001
State: American Samoa
Summary: This amendment updates the prosthetic devices section to include surgically implanted devices for cataract patients, ostomy bags, and breast prostheses in American Samoa's State plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: MT-14-020
State: Montana
Summary: This SPA updates the fee schedule for Targeted Case Management Services for Youth with serious emotional disturbance.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: MT-14-007
State: Montana
Summary: This SPA increases the rate for Targeted Case management for Adults with Severe Disabling Mental Illness by approximately 2%.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: MT-14-0044
State: Montana
Summary: This amendment extends the date for increased primary care service payments through June 30, 2015.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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