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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 211 to 220 of 556 results
Transmittal Number: AL-23-0004
State: Alabama
Summary: This amendment is to update the requirements and qualifications needed to be a rehabilitative services provider.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
  • Preventative Services
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-23-0017
State: Arkansas
Summary: This amendment adds medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-23-0035
State: North Carolina
Summary: This SPA proposes to update the language on the state’s excluded drug list on the Pharmacy state plan coverage pages.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Prescribed Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-23-0014
State: Indiana
Summary: This amendment adds community-based palliative care as a service under the home health benefit.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NV-23-0029
State: Nevada
Summary: This amendment is to create a new clinic type under Special Clinics for providers who treat children under the age of 21 with cancer and other rare diseases.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PA-23-0016
State: Pennsylvania
Summary: This amendment provides coverage without cost sharing for adult vaccines and their administration for all U.S. Food and Drug Administration approved adult vaccines recommended by the Advisory Committee on Immunization Practices (ACIP). 
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Vaccine
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-23-0015
State: Nebraska
Summary: This amendment provides coverage of all vaccinations recommended by the Advisory Committee on Immunization Practices (ACIP) to all adult Medicaid beneficiaries as required by the Inflation Reduction Act of 2022.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-23-0036
State: North Carolina
Summary: This amendment proposes to add Preventive Services to cover all vaccines for adults and their administration recommended by the Advisory Committee on Immunization Practices (ACIP).
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Vaccine
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CA-23-0029
State: California
Summary: This amendment is to clarify and update denture policy categorical information and clarify exemptions in the prosthodontics (removable) general policies for Medi-Cal.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NV-23-0027
State: Nevada
Summary: This amendment is to allow medically necessary cosmetic procedures for recipients who have been diagnosed with gender dysphoria or gender incongruence.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT