U.S. flag

An official website of the United States government

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.

Search the Text of Medicaid State Plan Amendments
Filter by Approval Date
Filter by Effective Date
Showing 1 to 10 of 13 results
Transmittal Number: MA-24-0042
State: Massachusetts
Summary: This amendment proposes to update the payment methodologies for Medicare crossover payments for certain Durable Medical Equipment services.
Approval Date:
Effective Date:
Topics:
  • Medicaid-Medicare Issues
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NH-24-0026
State: New Hampshire
Summary: This amendment allows New Hampshire to cover select imported drugs due to shortages identified by the Food and Drug Administration.
Approval Date:
Effective Date:
Topics:
  • Prescribed Drugs
  • Prescription Drugs
  • Drugs Purchased
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ME-24-0010
State: Maine
Summary: This amendment proposed income disregards for the Qualified Medicare Beneficiary (QMB) and Qualifying Individual (QI) eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
  • Medicaid-Medicare Issues
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MA-24-0010
State: Massachusetts
Summary: This amendment proposes to update the methods and standards  used by Massachusetts to pay Medicare crossover payment for ground ambulance services.
Approval Date:
Effective Date:
Topics:
  • Medicaid-Medicare Issues
  • Coverage
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KY-23-0017
State: Kentucky
Summary: This SPA proposes to change the state’s multi-state Supplemental Rebate Agreement arrangement from being with National Medicaid Pooling Initiative (NMPI) to joining the Sovereign States Drug Consortium (SSDC). The SPA also proposes to allow the state to enter into individual Supplemental Rebate Agreements directly with manufacturers.
Approval Date:
Effective Date:
Topics:
  • Drugs Purchased
  • Drugs and Related Services
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MO-21-0012
State: Missouri
Summary: This SPA proposes to add a reimbursement methodology for drugs purchased through the 340B drug program.
Approval Date:
Effective Date:
Topics:
  • Drugs Purchased
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: VT-20-0017
State: Vermont
Summary: This SPA permits licensed pharmacists to enroll in the Vermont Medicaid program, allowing coverage of COVID-19 diagnostic testing and specimen collection by licensed pharmacists to the extent permitted by state and federal law.
Approval Date:
Effective Date:
Topics:
  • Medicaid-Medicare Issues
  • Program Administration
  • Current State Plan
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