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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 381 to 390 of 568 results
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: 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:
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:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
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:
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Transmittal Number: KS-22-0028
State: Kansas
Summary: This Amendment increases the total amount designated for funeral services in a irrevocable burial agreement to $10,000.00.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-22-0006
State: District of Columbia
Summary: Description: Proposes to permit the District of Columbia Medicaid program to effectuate the coverage of doula services, effective October 1, 2022.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: MD-22-0006
State: Maryland
Summary: Updates the State Plan language regarding the Community First Choice program to accurately reflect the highest allotted budget for personal Assistance Services based on the Resource Utilization Groups (RUG), which is $43,680 annually.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT