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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: MN-09-016
State: Minnesota
Summary: Estate Recovery.
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Transmittal Number: MN-09-030
State: Minnesota
Summary: More Liberal Income Methods and Additional Third Party Liability Data Sources.
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Transmittal Number: MN-10-006
State: Minnesota
Summary: Health Care Home Services.
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Transmittal Number: VT-09-017
State: Vermont
Summary: Disproportionate Share Hospitals.
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Transmittal Number: MN-10-003
State: Minnesota
Summary: Dialectical behavior therapy.
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Transmittal Number: VT-10-001
State: Vermont
Summary: Proposed amendment to your Agency's approved Title XIX State plan to reflect the changes enacted by the Medicare Improvements for Patients and Providers Act of 2098 (MIPPA).
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Transmittal Number: VT-10-004
State: Vermont
Summary: This SPA transmitted an amendment to your approved Title XIX State plan to comply with the requirements of 5 1 12 of the Medicare Improvements for Patients and Providers Act of 2008, (P.L. 1 10-275). This provision requires States to increase the resource exemptions for Qualified Medicare Beneficiaries (QMB), Specified Low-Income Medicare Beneficiaries (SLMB) and Qualified Individuals (QI) to three times the resource limits of the Supplemental Security Income program. Prior to MIPPA, the resource exemption was twice the SSI limit.
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Transmittal Number: MN-09-026
State: Minnesota
Summary: Methods and Standards for Determining Payment Rates for Services Provided by Nursing Facilities.
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Transmittal Number: MN-09-025
State: Minnesota
Summary: Miscellaneous Payment Rate Reductions for Various Providers.
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Transmittal Number: MN-09-028
State: Minnesota
Summary: Miscellaneous Coverage and Payment Rate Changes.
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