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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 1381 - 1390 of 15693

New Jersey

This amendment provides assurances that the state complies with vaccine requirements consistent with the Inflation Reduction Act.

Approval Date: February 2, 2024
Effective Date: October 1, 2023
Topics: Coverage Program Administration Vaccine

North Dakota

This Amendment changes to the income disregards and financial methodologies applied to certain medically needy groups.

Approval Date: February 2, 2024
Effective Date: January 1, 2024
Topics: Eligibility Medicaid and CHIP Program (MACPro)

Oregon

This transmittal is being submitted to increase the rate for dental services.

Approval Date: February 2, 2024
Effective Date: October 1, 2023

New York

2022 Voluntary Outpatient UPL Payments.

Approval Date: February 2, 2024
Effective Date: April 1, 2022

Puerto Rico

This amendment proposed to elect use of the Federal Poverty Level in determining income eligibility under Puerto Rico's State Plan. 

Approval Date: February 1, 2024
Effective Date: July 1, 2023
Topics: Program Administration

California

This amendment, the state is expanding the needs-based criteria for children under five, adds Participant-Directed Services and related budget authority, and adds incentive payments to providers who assist individuals with obtaining competitive and integrated employment.

Approval Date: February 1, 2024
Effective Date: February 1, 2024
Topics: Home and community based services

Michigan

This plan amendment updates the effective date for the 1915(i) Community Transition Services, Targeted Case Management.

Approval Date: February 1, 2024
Effective Date: February 1, 2024

Missouri

The SPA allows doctoral level psychology interns under the supervision of a licensed psychologist to provide services for MO HealthNet participants.

Approval Date: February 1, 2024
Effective Date: October 1, 2023

Rhode Island

This amendment proposes to provide coverage of all approved vaccines recommended by the Advisory Committee on Immunization Practices and vaccine administration when furnished by a qualified provider.

Approval Date: February 1, 2024
Effective Date: October 1, 2023
Topics: Coverage Preventative Services Vaccine

South Carolina

This amendment proposes to update the preventive services to align with the United States Preventive Services Task Force recommendations for preventive screening services and the Advisory Committee on Immunization Practices recommendations for immunizations.  Additionally, this amendment proposes to include the current reimbursement methodology for vaccines for both children and adults under the Preventive Services section of the State Plan. This amendment also proposes to remove the limits previously applied to the ambulatory care annual visits.

Approval Date: February 1, 2024
Effective Date: October 1, 2023
Topics: Coverage and Reimbursement Preventative Services Vaccine