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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 41 to 50 of 317 results
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:
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Transmittal Number: OK-22-0040
State: Oklahoma
Summary: Updates reimbursement methodology for dental services
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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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:
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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:
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Transmittal Number: OK-21-0041
State: Oklahoma
Summary: Updates and clarifies the frequency and method for re-basing Certified Community Behavioral Health (CCBH) Prospective Payment System (PPS) rates based on cost reports.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: OK-22-0007
State: Oklahoma
Summary: Established the Ambulance Service Provider Access Payment Program.
Approval Date:
Effective Date:
Topics:
Links:
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Transmittal Number: OK-22-0019
State: Oklahoma
Summary: Eliminates community based extended and community based transitional level of care.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: OK-22-0010
State: Oklahoma
Summary: This amendment updates the State's Supplemental Rebate Agreement’s (SRA) applicable date of the new Sovereign States Drug Consortium (SSDC) rebate agreement.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
  • Supplemental Rebates and Managed Care
  • Coverage and Reimbursement
Links:
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Transmittal Number: OK-22-0016
State: Oklahoma
Summary: This amendment establishes Partial Hospitalization Program (PHP) services for individuals ages 21 through 64 with substance use disorder, mental health diagnoses, and/or co-occurring disorders

within the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
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Transmittal Number: OK-22-0004
State: Oklahoma
Summary: This amendment revises the state’s Alternative Benefit Plan (ABP).
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
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