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 11 to 20 of 21 results
Transmittal Number: MA-23-0049
State: Massachusetts
Summary: This amendment is to update the Standard Alternative Benefit Plan (ABP) to update the description of Home Health Part-Time Nursing.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
  • Home Health
  • Prior Authorization
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NH-23-0013
State: New Hampshire
Summary: This amendment for Clinic Services addresses the compliance concerns raised in the February 24, 2023 companion letter, for an April 1, 2023, effective date.  
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Clinic
  • Other Licensed Practitioners
  • Prior Authorization
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0025
State: Vermont
Summary: The state submitted this SPA to align its ABP with previously approved SPAs 23-0017, 23-0023, and 23-0027 regarding dental therapists, podiatry services and prior authorization policies for prosthetic devices.
Approval Date:
Effective Date:
Topics:
  • ABP
  • Prior Authorization
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0021
State: Vermont
Summary: This amendment proposes to update the coverage description and prior authorization policies for transplantation services.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Prior Authorization
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0027
State: Vermont
Summary: This amendment proposes to update the coverage description and prior authorization policies for transplantation services.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Prior Authorization
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MA-23-0022
State: Massachusetts
Summary: This SPA is to update the CarePlus Alternative Benefit Plan (ABP) to revise the prior authorization requirements for home health nursing, home health aide services, and home health therapy services, and remove the scope limitations on home health aide services.
Approval Date:
Effective Date:
Topics:
  • Home Health
  • Prior Authorization
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0011
State: Vermont
Summary: This SPA proposes to add prior authorization information on preferred and non-preferred drugs, as well as for High-Investment Carve-Out drugs when delivered in the inpatient setting.
Approval Date:
Effective Date:
Topics:
  • Prior Authorization
  • Prescription Drugs
  • Prescribed Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0003
State: Vermont
Summary: This amendment proposes to increase the physical, occupational, and speech therapy limit for children from eight to 30 visits per year, which can be exceeded with prior authorization.
Approval Date:
Effective Date:
Topics:
  • Prior Authorization
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0001
State: Vermont
Summary: This amendment proposes to adjust Vermont Medicaid's prior authorization requirements for chiropractic services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Prior Authorization
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-20-0020
State: Connecticut
Summary: Increased the rate per box of 100 non-sterile gloves to $8.00 per box and reduced the quantities to 3 boxes per month, which may be exceeded with prior authorization based on medical necessity. 
Approval Date:
Effective Date:
Topics:
  • Prior Authorization
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT