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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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Transmittal Number: IL-22-0028
State: Illinois
Summary: This amendment proposes to waive any claim against the first $25,000 of an estate as not cost-effective.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: MN-22-0027
State: Minnesota
Summary: This amendment proposes to make optional, the Early Intensive Developmental and Behavioral Intervention Qualified Supervising Professional’s involvement in the coordinating care conference discussion.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: MS-22-0001
State: Mississippi
Summary: The purpose of this amendment is to allow the Division of Medicaid (DOM) to comply with the American Rescue Plan (ARP) requirements regarding coverage of U.S. Food & Drug Administration (FDA) authorized COVID diagnostic and screening tests consistent with the CDC definitions and recommendations when ordered by a practitioner.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-22-0020
State: Oregon
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 provide a temporary rate increase for nursing facilities, assisted living facilities, and residential care facilities.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: LA-22-0026
State: Louisiana
Summary: This SPA is to amend the provisions governing behavioral health rehabilitation services in order to update Community Psychiatric Support and Treatment (CPST) and Psychosocial Rehabilitation (PSR) services.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OH-22-0027
State: Ohio
Summary: Proposes to remove telehealth references from the state plan since the coverage provisions and payment rates for services delivered via telehealth are the same as services delivered face-to-face.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IL-22-0020
State: Illinois
Summary: The state elect its option to provide 12 months of postpartum Medicaid coverage to individuals who were pregnant when enrolled in Medicaid.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-22-0013
State: Vermont
Summary: This amendment proposes to remove the service limitations for medical nutrition therapy.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
Links:
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Transmittal Number: ND-22-0017
State: North Dakota
Summary: This amendment amends the State Plan to remove the language regarding limitations for psychiatric residential treatment facilities.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: CO-22-0044
State: Colorado
Summary: This Amendment adds family-planning-related services to the family planning services coverage page.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT