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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 1401 to 1410 of 2111 results
Transmittal Number: NH-22-0020
State: New Hampshire
Summary: This plan updates Private Non-Medical Institution (PNMI) reimbursement methodology.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-22-0035
State: Connecticut
Summary: This amendment looks to implement updates to physician, medical clinic, DME/MEDS fee schedules, increase rates for Etonogestrel implant system LARC devices, add a code for monkeypox testing to select fee schedules, and update DME/MEDS fee schedule.  This SPA also removes age limits for naturopath coverage and expands coverage for behavioral health clinicians to include associate practitioners.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CA-23-0001
State: California
Summary: This SPA updates the the Current Dental Terminology (CDT) dental codes to the CDT 2023 (“CDT-23”) code set and the supplemental payment amount for eligible codes.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MA-22-0033
State: Massachusetts
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 amend payment methods for day habilitation and adult day health services.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DE-22-0007
State: Delaware
Summary: The purpose of this SPA is to come into compliance with Treatment requirements of Section 9811 of the American Rescue Plan.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DE-22-0008
State: Delaware
Summary: The purpose of this SPA is to come into compliance with Vaccine requirements of Section 9811 of the American Rescue Plan.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DE-22-0009
State: Delaware
Summary: The purpose of this SPA is to come into compliance with testing requirements of Section 9811 of the American Rescue Plan.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: FL-22-0009
State: Florida
Summary: The purpose of this SPA is to attest coverage of COVID-19 vaccine, treatment, and testing as required in ARP.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MA-22-0034
State: Massachusetts
Summary: This plan amendment revises the payment rates for

adult day health services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-21-0014
State: Colorado
Summary: This plan amendment updates the physician services alternative payment model (APM) by changing the time-frame for eligible payments that qualify primary care medical providers (PCMP) for the APM, thereby, making the APM code set

timeline prospective and ongoing rather than tied to specific past dates, and pushing the 2021 APM rate adjustments

back from July 1, 2021 to October 1, 2021.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT