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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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Transmittal Number: GU-14-02 A
State: Guam
Summary: ABP Cost Sharing Charges.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
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Transmittal Number: GU-14-05-MM1
State: Guam
Summary: Establishes Mandatory Coverage Adult Group up to 133% FPL.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: GU-14-03
State: Guam
Summary: Updates the State Plan to align Guam's reimbursement methodology with the ervices provided in its Alternative Benefit Plan (ABP).
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: GU-14-04 T
State: Guam
Summary: This amendment proposes to remove any agents used to promote smoking cessation from the list of drugs a Medicaid program may exclude from coverage.
Approval Date:
Effective Date:
Topics:
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Transmittal Number: MT-13-0042-MM
State: Montana
Summary: Incorporates MAGI-Based Mandatory and Optional Eligibility Groups Requirements.
Approval Date:
Effective Date:
Topics:
  • Eligibility
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Transmittal Number: MT-13-049
State: Montana
Summary: This SPA updates a change in language in Home HealthServices to further clarify the coverage limitations on diapers and to reference the correct entity that conducts reviews for medical necessity and for prior authorizations.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: MT-14-0004-MM7
State: Montana
Summary: Implements new Provision for MAGI Presumptive Eligibility for Hospitals.
Approval Date:
Effective Date:
Topics:
  • Eligibility
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Transmittal Number: MT-13-040
State: Montana
Summary: This amendment updates the payment pool amount for graduate medical education GME supplemental payments and provides for other minor clarifications.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: MT-13-029
State: Montana
Summary: Amends Physician Services to update Fees by 5.7% and the date of Fee Schedule.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
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Transmittal Number: MT-13-034
State: Montana
Summary: Implements legislative funding for nursing facility reimbursement, Updates references to reflect the current fiscal year, Updates the current Statewide median price and incorporates the funding level for the direct care wage component of the rate and provides for other minor clarifications.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
Links:
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