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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.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to waive the requirement (for year 2023) that state notify enrollees, through an annual mailing, that one or more of their healthcare providers are now part of the state's Integrated Health Partnerships (IHP) program (as outlined in approved State Plan Attachments 3.1-A Page 79b2 and Attachment 3.1-B Page 78b2).
Summary: This SPA provides Minnesota with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Summary: CMS approves Minnesota's time-limited COVID-19 disaster relief proposal. Effective March 1, 2020 per Section 7.4 of the Minnesota State Plan, the Minnesota State Medicaid agency waives signature requirements for the dispensing of drugs during the Federal COVID-19 Public Health Emergency.
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.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment to implement, as authorized under section 9811 of the ARPA, P.L. 117-2, COVID-19 treatment services, without cost-sharing, for enrollees in the COVID-19 uninsured testing group and enrollees in the adult group who are covered by an alternative benefit plan (ABP).
Summary: Effective October 1, 2020 until September 30, 2025, pursuant to 1905(a)(29) of the Social Security Act and Section 1006(b) of the SUPPORT Act., this amendment adds medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan.
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.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. This SPA modifies the criteria for ambulance transportation between two hospitals.
Summary: Authorizes the department to establish provider specific rates for services provided by Psychiatric Residential Treatment Facilities (PRTFs). The amendment also removes outdated language
