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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 1 to 10 of 11 results
Transmittal Number: MN-24-0011
State: Minnesota
Summary: This amendment proposes to expand coverage for prescription contraceptives to up to a 12-month supply.
Approval Date:
Effective Date:
Topics:
  • Contraceptive Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IL-21-0006
State: Illinois
Summary: Transitions Illinois children enrolled through the sperate CHIP Program to Medicaid expansion coverage through the Optional Targeted Low Income Children eligibility group.
Approval Date:
Effective Date:
Topics:
  • Children's Health Insurance Program
  • Medicaid Expansion
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VA-21-0014
State: Virginia
Summary: Effective July 1, 2021, this amendment allows for 12-month contraception dispensing and participation in the National Medicaid Pooling Initiative (NMPI). 
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Contraceptive Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-21-0006
State: Connecticut
Summary: Incorporates the 2021 Healthcare Common Procedural Coding System (HCPCS) changes (additions, deletions and description changes) to the Independent Radiology and Independent laboratory fee schedules 
Approval Date:
Effective Date:
Topics:
  • Adjustment Codes
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IA-21-0005
State: Iowa
Summary: Ubillpdates the billing code for the Health Promotion services.  The change is being made to align with the current Medicare billing code for that service
Approval Date:
Effective Date:
Topics:
  • Adjustment Codes
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-20-0023
State: Arkansas
Summary: proposes to increase physicians’ evaluation and management codes
Approval Date:
Effective Date:
Topics:
  • Adjustment Codes
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-20-0019
State: Connecticut
Summary: Adds multiple procedure codes to the outpatient physician fee schedule
Approval Date:
Effective Date:
Topics:
  • Adjustment Codes
  • Program Administration
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CA-20-0014
State: California
Summary: Updates the Current Dental Terminology (CDT) dental code set to CDT 14 through CDT 2019, replacing the CDT 2013 code set
Approval Date:
Effective Date:
Topics:
  • Adjustment Codes
  • Dental
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-20-0007
State: Connecticut
Summary: Incorporates various 2020 Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes). Codes that are being added are being priced using a comparable methodology to other codes in the same or similar category and replacement codes are being priced in a manner designed to make the billing code updates cost-neutral.  
Approval Date:
Effective Date:
Topics:
  • Adjustment Codes
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-19-014
State: Indiana
Summary: Transmittal Number (TN) 19-014 Child Mental Health Wraparound §1915(i) home and community-based services (HCBS) state plan amendment (SPA)  makes technical changes to correct errors in pagination
Approval Date:
Effective Date:
Topics:
  • Children's Health Insurance Program
  • Current State Plan
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT