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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 891 to 900 of 2132 results
Transmittal Number: NH-23-0047
State: New Hampshire
Summary: This plan updates the rates for Target Case Management (TCM) Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: NH-23-0054
State: New Hampshire
Summary: This plan updates the rate schedule date for the 1915 Supported Housing Services Demonstration.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: NH-23-0051
State: New Hampshire
Summary: This plan updates the rates for Physicians and Other Licensed Practitioner (OLP) Services.
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Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: CA-23-0025
State: California
Summary: This SPA clarifies the reimbursement methodology for care coordination, recovery support services, peer support specialist services, and Medication Addiction Treatment (MAT) when provided in a residential treatment setting.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: WY-23-0012
State: Wyoming
Summary: This amendment updates the reimbursement methodology for durable medical equipment/supplies and allows for a non-rural and rural rate according to the member's physical address.
Approval Date:
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Topics:
  • Reimbursement
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Transmittal Number: IL-23-0026
State: Illinois
Summary: This plan amendment the updates Enhanced Ambulatory Patient Groups (EAPG).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: WA-23-0034
State: Washington
Summary: This SPA updated the ambulance transportation quality assurance fee expiration date from June 30, 2024 to June 30, 2028
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Effective Date:
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  • Reimbursement
Links:
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Transmittal Number: MA-23-0005
State: Massachusetts
Summary: This amendment updates the coverage and payment methodologies for Children's Behavioral Health Initiative (CBHI). 
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
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Transmittal Number: NJ-23-0022
State: New Jersey
Summary: This amendment was submitted in order to update the fee schedules for NJ Integrated Care for Kids (InCK).
Approval Date:
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  • Reimbursement
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Transmittal Number: CO-23-0034
State: Colorado
Summary: Adds supplemental payment for class I nursing facility providers that admit residents directly from the Colorado Department of Corrections who are released on parole or due to compassionate care or medical release.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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