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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 640 results
Transmittal Number: VT-18-0009
State: Vermont
Summary: Extends the timeframe for Drug Utilization Review Board drug class reviews from annually to at least every two years.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
  • Program Administration
Links:
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Transmittal Number: IL-18-0001
State: Illinois
Summary: Consolidation and Expansion of Managed Care.
Approval Date:
Effective Date:
Topics:
  • Managed Care
Links:
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Transmittal Number: AR-18-012
State: Arkansas
Summary: Medicaid managed care organizations (MCOs) to the state supplemental rebate agreement.
Approval Date:
Effective Date:
Topics:
  • Managed Care
Links:
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Transmittal Number: MN-18-01
State: Minnesota
Summary: Proposes to cover prenatal and postpartum home visits by a Public Health Nurse or a RN under the supervision of a Public Health Nurse.
Approval Date:
Effective Date:
Topics:
  • Managed Care
Links:
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Transmittal Number: IA-18-018
State: Iowa
Summary: This adjusts the professional dispensing fee from $10. 02 to $10. 07 per prescription, based on a recent cost of dispensing survey of lowa Medicaid enrolled pharmacy providers.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Prescription Drugs
Links:
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Transmittal Number: VA-18-0008
State: Virginia
Summary: An alternative Benefit Plan (ABP) that will align benefits between the ABP and amendments to Attachment 3.1A, and will authorize enrollment of expansion population into the Virginia Medicaid Managed Care (Medallion 4.0) program and the Commonwealth Coordinated Care (CCC) Plus program.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Managed Care
Links:
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Transmittal Number: ME-17-0012
State: Maine
Summary: Amends changes from the Covered Outpatient Drug Rule.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: LA-18-0004
State: Louisiana
Summary: Reimbursement rates for physician administered drugs are current.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Prescription Drugs
Links:
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Transmittal Number: NY-18-0022
State: New York
Summary: This updates the Department of Health professional dispensing fee (PDF) for brand name, generic and over-the-counter (OTC) outpatient drugs to align with current costs.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: NY-16-0016
State: New York
Summary: A revision for the Ambulatory Patient Group methodology for hospital-based clinic and ambulatory surgery services, including emergency room services, to reflect recalculated weights with component updates.
Approval Date:
Effective Date:
Topics:
  • Managed Care
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT