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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 241 to 250 of 317 results
Transmittal Number: OK-13-0016-MM2
State: Oklahoma
Summary: Incorporates the MAGI based eligibility process requirements including the single streamline application into Oklahoma Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: OK-13-17-MM1
State: Oklahoma
Summary: Approved Eligibility Standards for State Mandatory and Optional Eligibility Groups.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: OK-13-15
State: Oklahoma
Summary: Makes Technical Changes to Reflect Current Income Limits for Parents and Caretaker Relatives.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: OK-13-14
State: Oklahoma
Summary: Adjusts the rates for nursing facilities including those serving AIDs patients, and private Intermediate Care Facilities for the Mentally Retarded including specialized facilities with 16 beds or less.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: OK-13-11
State: Oklahoma
Summary: This state plan amendment requests use of updated HCPCS codes to identify partial hospitalization services.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: OK-13-10
State: Oklahoma
Summary: Proposes to exclude from coverage benzodiazepines for all conditions and barbiturates for the treatment of epilepsy, cancer and chronic mental health disorders for full benefit dual eligible as Medicare Part D will provide this coverage.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Prescription Drugs
  • Program Administration
Links:
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Transmittal Number: OK-13-08
State: Oklahoma
Summary: Reinstatement of Behavioral Health Authorization and Psychosocial Rehabilitation Limitations.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: OK-13-06
State: Oklahoma
Summary: The state plan increases the reimbursement rates for physician services rendered by primary care providers to meet compliance with Section 1202 of the Patient Protection and Affordable Care Act and federal regulations.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: OK-13-02
State: Oklahoma
Summary: This state plan amendment documents the inclusion of children receiving Title IV-E kinship guardianship assistance payments as a covered population under the mandatory Title JV-E eligibility group.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: OK-13-03
State: Oklahoma
Summary: This state plan amendment requests the removal of the restriction of "children only" from transportation services for approved HCBS Medicaid recipients, including adults as beneficiaries who are receiving NEMT services.
Approval Date:
Effective Date:
Topics:
Links:
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