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.

Search the Text of Medicaid State Plan Amendments
Filter by Approval Date
Filter by Effective Date
Showing 41 to 50 of 368 results
Transmittal Number: OK-23-0006
State: Oklahoma
Summary: This amendment ensure that the agency's cost-sharing authority reflects co-payments that are currently in practice. This request also seeks to remove cost sharing for vaccine administration per the Inflation Reduction Act provision prohibiting cost sharing for Advisory Committee on Immunization Practices (ACIP) recommended vaccines for adults.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OK-22-0042
State: Oklahoma
Summary: This SPA provides Oklahoma with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OK-22-0031
State: Oklahoma
Summary: This SPA expanded eligibility in the former foster care children (FFCC) eligibility group consistent with the changes mandated by Section 1002 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (Support) Act.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OK-23-0013
State: Oklahoma
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 signature requirement for pharmacy counseling and to increase reimbursement rates for private duty nursing services.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Prescription Drugs
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VI-22-0002
State: Virgin Islands
Summary: To remove the cash required to pay Part B premiums. VI will pay Part B premiums for all beneficiaries who also qualify for Medicare.
Approval Date:
Effective Date:
Topics:
  • Premiums
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VI-22-0001
State: Virgin Islands
Summary: Increases the ABD resource limit for ABD and Medically Needy populations from $1,500 per person to $10,000.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VI-22-0005
State: Virgin Islands
Summary: Brings the territory into compliance with the requirements of Section 2302 of the Affordable Care Act (ACA) (concurrent care for children).
Approval Date:
Effective Date:
Topics:
  • Affordable Care Act
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OK-22-0040
State: Oklahoma
Summary: Updates reimbursement methodology for dental services
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OK-22-0017
State: Oklahoma
Summary: The purpose of this SPA is Oklahoma’s Annual Rebasing of Rates for regular nursing facilities, nursing facilities serving residents with Acquired Immune Deficiency Syndrome (AIDS), and acute and regular Intermediate Care Facilities for Individuals with an Intellectual Disability (ICF/IIDs).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OK-22-0032
State: Oklahoma
Summary: Increases rates for Out Patient Behavioral Health Agency Services, Residential Level of Care Substance Abuse Disorder Services and Independently Contracted Psychologists.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT