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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 261 to 270 of 556 results
Transmittal Number: RI-23-0006
State: Rhode Island
Summary: This amendment is to confirm in its state plan the eligibility requirements for the Medicare Savings Program eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VA-23-0009
State: Virginia
Summary: Removes the federal requirement that practitioners obtain a DATA-Waiver or X-Waiver to prescribe medications, like buprenorphine, to treat patients with opioid use disorder, in accordance with Section 1262 of the Consolidated Appropriations Act, 2023. Providers who have a current license to practice and a Drug Enforcement Administration (DEA) registration authorizing the prescribing of Schedule III drugs may prescribe buprenorphine for the treatment of opioid use disorder or pain management.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NM-23-0003
State: New Mexico
Summary: This amendment is that the state will cover all preventive services assigned a grade of A or B by the U.S. Preventive Services Task Force (USPSTF), and all approved vaccines recommended by the Advisory Committee on Immunization Practices (ACIP), and their administration.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-23-0030
State: Kansas
Summary: This SPA proposes to update the language on the state’s Prescribed Drugs Limitations list on the Pharmacy state plan coverage pages.
Approval Date:
Effective Date:
Topics:
  • Prescribed Drugs
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MO-23-0017
State: Missouri
Summary: This amendment allows Licensed Psychologists, Licensed Behavior Analysts, and Licensed Assistant Behavioral Analysts that work in states that border Missouri to provide Applied Behavioral Analysis services to Missouri Medicaid participants.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-23-0019
State: North Carolina
Summary: This amendment would expand providers who are eligible to furnish case management services for two Target Case Management Groups (TCM). (Children at risk ages 0-5 and pregnant women), by revising the provider qualifications.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
  • Coverage
  • Reimbursement
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-23-0004
State: Colorado
Summary: This amendment to adds coverage and reimbursement of eConsult telemedicine services for consultations between primary care providers and specialty providers.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KY-23-0020
State: Kentucky
Summary: This amendment proposes to create a new provider type for Behavioral Health Crisis Transportation.
Approval Date:
Effective Date:
Topics:
  • Transportation
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-23-0008
State: Indiana
Summary: This amendment will require managed care entities (MCEs) contracted with the State of Indiana follow a statewide uniform preferred drug list.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OK-23-0021
State: Oklahoma
Summary: This amendment proposes to add secure mental health transportation services to Oklahoma’s Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Transportation
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT