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 1301 to 1310 of 2111 results
Transmittal Number: FL-22-0002
State: Florida
Summary: This SPA proposes to update physician administered drug reimbursement, over-the-counter drug coverage, and current age restrictions on existing vaccination language that includes coverage of certain vaccines to individuals that reside in institutions.
Approval Date:
Effective Date:
Topics:
  • Physician Administered Drugs
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-23-0003
State: Nebraska
Summary: This plan amendment implements a provider rate increase for basic Personal Assistance Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MI-23-0009
State: Michigan
Summary: This plan amendment updates updates rates for Home Help and Personal Care services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: FL-22-0011
State: Florida
Summary: This plan amendment updates language regarding payments within the Outpatient Hospital Reimbursement Methodology.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-23-0003
State: North Carolina
Summary: This State Plan change is to increase Home Health Services Medicaid rates by ten percent (10%) above the rate in effect.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WI-23-0003
State: Wisconsin
Summary: Effective for services on or after January 1, 2023, this amendment will modifying Wisconsin's reimbursement methodology as it relates to the number of months a cost report and supporting documentation are required after a facility’s cost reporting period.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: RI-23-0003
State: Rhode Island
Summary: Effective January 1, 2023, this amendment proposes a revision to the State's internal rate review and financial review of provider costs.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AZ-23-0001
State: Arizona
Summary: This amendment, effective January 1, 2023, updates All Patient Refined Diagnosis Related Group (APR-DRG) reimbursement rates for inpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MI-23-0007
State: Michigan
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to make a temporary change to the rate setting methodology for nursing facilities which will increase the Variable Cost Component for the period from 10/1/22 through 12/31/22 and from 1/1/23 through 5/11/23.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NM-22-0017
State: New Mexico
Summary: This SPA implements coverage of new mandatory benefits under Section 9811 of the American Rescue Plan (ARP).
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT