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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 251 to 260 of 317 results
Transmittal Number: OK-13-05
State: Oklahoma
Summary: Nursing Home Focus on Excellence Point Benchmark technical correction.
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  • Program Administration
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Transmittal Number: OK-13-01
State: Oklahoma
Summary: This state plan amendment requests an extension of the implementation date for recovery audit contractors (RAC), to be completed no later than July 1, 2013.
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  • Program Administration
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Transmittal Number: OK-13-12
State: Oklahoma
Summary: This state plan amendment updates the description of EPSDT rehabilitation services.
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  • Benefits
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Transmittal Number: OK-11-12
State: Oklahoma
Summary: This state plan amendment requests the addition of certain licensed behavioral health professionals as core providers when providing services to children in an FQHC or FQHC look-alike. These providers will be reimbursed under the prospective payment system.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: OK-12-12
State: Oklahoma
Summary: This state plan amendment requests revision of reimbursement methodology for End Stage Renal Disease (ESRD) to reflect Medicare's current bundled payment structure.
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  • Financing & Reimbursement
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Transmittal Number: OK-12-03
State: Oklahoma
Summary: The plan amendment removes prior approval requirements for certain outpatient behavioral health services and removes prior approval for requirements for targeted case management for those services.
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Transmittal Number: OK-12-10
State: Oklahoma
Summary: This amendment provides for increases in payment rates for Nursing Facilities and Intermediate Care Facilities for the Mentally Retarded.
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  • Financing & Reimbursement
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Transmittal Number: OK-12-04
State: Oklahoma
Summary: Adds Optional Outpatient Behavioral Health Provider Certification by Oklahoma Department of Mental Health and Substance Abuse Services Board.
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Transmittal Number: OK-12-08
State: Oklahoma
Summary: This amendment proposes changes to the reimbursement methodology for Children's Sub-Acute Long Term Care Hospitals.
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  • Financing & Reimbursement
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Transmittal Number: OK-11-07
State: Oklahoma
Summary: Removes Sunset Language and Continues Limitation of Brand Name Prescriptions to Two Per Month.
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Effective Date:
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