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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.

Results

Displaying 181 - 190 of 15693

Minnesota

This amendment makes changes to provider qualifications for Child and Family Psychoeducation, Early Intensive Developmental and Behavioral Intervention (EIDBI), Mental Health Services, and Adult Rehabilitative Mental Health Services (ARMHS).

Approval Date: February 10, 2025
Effective Date: January 1, 2025

Idaho

This SPA provides Idaho with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.

Approval Date: January 17, 2025
Effective Date: January 1, 2025
Topics: Benefits Eligibility Medicaid and CHIP Program (MACPro)

Idaho

This plan amendment creates a reimbursement methodology for supplemental payment for ground emergency medical transportation services.

Approval Date: January 17, 2025
Effective Date: January 26, 2023

Nevada

This amendment will add back into the plan the language for Community Health Workers (CHWs) erroneously left off the NV-23-0016 SPA approval, which adds CHWs as providers under the preventive services benefit.

Approval Date: January 17, 2025
Effective Date: October 1, 2024

Utah

This plan amendment proposes an update to clarify eligible staff and steps for total reimbursement of School Based Services

Approval Date: January 17, 2025
Effective Date: July 1, 2024

Wyoming

This plan continues outpatient hospital supplemental payments and authorizes a new supplemental payment for physicians.

Approval Date: January 17, 2025
Effective Date: July 1, 2023

Nevada

This amendment is to update premiums for the Katie Beckett group described at 42 CFR § 435.225.

Approval Date: January 17, 2025
Effective Date: January 1, 2024

Rhode Island

This amendment is for RI Opioid Treatment Program Health Home Services to comply with a federal State Health Official letter directing states to submit a SPA attesting to compliance with the CMS mandatory annual state reporting requirements for Health Home Core Set Measures for measuring and improving the quality of care delivered to Medicaid and CHIP beneficiaries.

Approval Date: January 17, 2025
Effective Date: January 1, 2025
Topics: Health Homes Medicaid and CHIP Program (MACPro) Program Administration

Rhode Island

This amendment is for CEDAR Health Homes to comply with a federal State Health Official letter directing states to submit a SPA attesting to compliance with the CMS mandatory annual state reporting requirements for Health Home Core Set Measures for measuring and improving the quality of care delivered to Medicaid and CHIP beneficiaries.

Approval Date: January 17, 2025
Effective Date: January 1, 2025
Topics: Health Homes Medicaid and CHIP Program (MACPro) Program Administration

Connecticut

This amendment establishes new coverage for independent doula services.

Approval Date: January 17, 2025
Effective Date: January 1, 2025
Topics: Coverage Other Licensed Practitioners Preventative Services Reimbursement