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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 521 to 530 of 584 results
Transmittal Number: PA-12-003
State: Pennsylvania
Summary: Removes Botulinum Toxins from the list of drugs requiring prior authorization.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: TX-12-03
State: Texas
Summary: The amendment clarifies the circumstances under which a drug will be placed on the State's preferred drug list. The amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: MN-11-020
State: Minnesota
Summary: Prescribed Drugs rates.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: MI-12-001
State: Michigan
Summary: This amendment removes non-compliant State Plan language for covered excluded drugs.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: TN-11-010A
State: Tennessee
Summary: This SPA proposes to limit coverage for certain sedative hypnotic and opioid detoxification drugs for beneficiaries aged twenty-one years and older.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: VI-11-001
State: Virgin Islands
Summary: Implements a PBM program to provide drugs covered on the formulary list, except excluded drugs covered under Part D.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Prescription Drugs
  • Program Administration
Links:
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Transmittal Number: OH-11-033
State: Ohio
Summary: Provision of prescribed drugs and certain medical supplies for managed care organization (MCO) enrollees through Ohios MCOs.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: AZ-11-015
State: Arizona
Summary: Updates the State Plan to include standards of pricing and payment for 340B drugs.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Prescription Drugs
Links:
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Transmittal Number: KS-11-09
State: Kansas
Summary: Prescribed Drugs.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: LA-11-33-Pharm
State: Louisiana
Summary: Under this SPA, the State proposes to change the maximum prescription refills for a non-controlled drug from five refills with a six month expiration period to eleven refills with a one year expiration period. In addition, the State further defines the expiration date for valid prescriptions.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT