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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 1 to 10 of 13 results
Transmittal Number: MN-21-0022
State: Minnesota
Summary: This amendment proposes to change provider requirements for community mental health centers, adds coverage of prophylaxis under the state’s dental benefit, allows for 90-day coverage of maintenance medications, and adds weight loss drugs to the state’s prescription drug formulary. 
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: MN-21-0004
State: Minnesota
Summary: CMS is approving the state’s request to amend its 1915(i) state plan home and community-based services (HCBS) benefit, transmittal number TN 21-00004.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-20-0020
State: Minnesota
Summary: Authorizes the department to establish provider specific rates for services provided by Psychiatric Residential Treatment Facilities (PRTFs).  The amendment also removes outdated language
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-20-0010
State: Minnesota
Summary: This SPA revises state plan language to modify the requirements for delivery of case management services
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-20-0019
State: Minnesota
Summary: Amends 1915(i) state plan HCBS benefit
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Benefits
Links:
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Transmittal Number: VT-20-0017
State: Vermont
Summary: This SPA permits licensed pharmacists to enroll in the Vermont Medicaid program, allowing coverage of COVID-19 diagnostic testing and specimen collection by licensed pharmacists to the extent permitted by state and federal law.
Approval Date:
Effective Date:
Topics:
  • Medicaid-Medicare Issues
  • Program Administration
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-19-0009
State: Minnesota
Summary: Reinstates the Recovery Audit Contractor (RAC) Program
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: VT-19-0005
State: Vermont
Summary: Updates the state’s supplemental rebate agreement
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Financing & Reimbursement
Links:
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Transmittal Number: MN-19-0007
State: Minnesota
Summary: Clarification that partial hospitalization services are made on a per diem basis.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Cost Sharing
  • Current State Plan
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-12-005
State: Vermont
Summary: This SPA transmitted a proposed amendment to your approved Title XIX State plan to implement Section 6401(a) of the Affordable Care Act . This Affordable Care Act provision amended section 18660) of the Social Security Act to add a new paragraph ''(2) Provider Screening."
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT