U.S. flag

An official website of the United States government

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.

Results

Displaying 41 - 50 of 15954

Wyoming

This SPA revises the personal needs allowance to authorize a $20 monthly deduction for administrative fees associated with
maintaining a Medicaid-compliant Irrevocable Income Trust (Miller Trust).

Approval Date: August 29, 2025
Effective Date: July 1, 2025

Texas

The amendment accounts for rate increases in the following services: assisted living, supervised living, and supported home living.

Approval Date: August 29, 2025
Effective Date: September 1, 2025

New York

This plan amendment proposes to provide temporary rate adjustments to long term care providers that are undergoing closure, merger, consolidation, acquisition or restructuring themselves or other healthcare providers.

Approval Date: August 29, 2025
Effective Date: April 1, 2024

New York

This plan amendment proposes to account for statutorily required increases to the minimum wage for Psychiatric Residential Treatment Facility (PRTF) providers.

Approval Date: August 29, 2025
Effective Date: January 1, 2024

District of Columbia

This amendment proposes to include coverage of FDA-approved over-the-counter COVID-19 tests under the State Plan. The initial SPA submission has been revised to incorporate the required language in the Preventive Services benefit instead of the Pharmacy benefit.

Approval Date: August 28, 2025
Effective Date: October 1, 2024
Topics: Coverage Preventive Services Program Administration

Utah

This amendment makes changes to tribal consultation policies.

Approval Date: August 28, 2025
Effective Date: July 1, 2025

New Jersey

This amendment revises the COVID-19 Vaccine administration rates from 100% to 50% of current Medicare rates

Approval Date: August 28, 2025
Effective Date: October 1, 2024

Louisiana

The SPA makes provisions governing the Medicaid Purchase Plan to increase the income limit and countable resources and to adjust the premium structure accordingly.

Approval Date: August 28, 2025
Effective Date: April 1, 2025

Colorado

This plan amendment proposes to to increase Hospice provider rates and update the fee-schedule date effective October 11, 2024.

Approval Date: August 28, 2025
Effective Date: October 11, 2024

Wisconsin

This plan amendment adds reimbursement for Treat-in-Place/No Transport services.

Approval Date: August 28, 2025
Effective Date: January 1, 2025