U.S. flag

An official website of the United States government

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.

Search the Text of Medicaid State Plan Amendments
Filter by Approval Date
Filter by Effective Date
Showing 611 to 620 of 2105 results
Transmittal Number: ME-24-0006
State: Maine
Summary: This plan amendment updates the payment methodology for certain rehabilitative services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-24-0013
State: New York
Summary: This plan proposes to update Ambulatory Patient Group (APG) base rates under rehabilitative services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-23-0032
State: New York
Summary: This plan proposes to implement a 5% rate increase for Addiction Services and Supports (OSAS) services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-24-0002
State: Oregon
Summary: This SPA increased the reimbursement rates for primary care services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ME-11-005B
State: Maine
Summary: This SPA describes the reimbursement methodology for certain rehabilitative services, including those provided by Private Non-Medical Institutions (PNMIs), and for personal care services provided by PNMIs.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-24-0006
State: Arkansas
Summary: This plan amendment proposes to reimburse for Continuous Glucose Monitors (CGM), and related Diabetic Supplies at Wholesale Acquisition Cost (WAC) plus the applicable professional dispensing fee.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SC-23-0015
State: South Carolina
Summary: This amendment proposes to add Multisystemic Therapy (MST) to the South Carolina Rehabilitative Services benefit.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Benefits
  • Reimbursement
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SC-24-0007
State: South Carolina
Summary: This plan amendment updates the reimbursement methodology for dietitians services to support access to medical nutrition therapy services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SC-24-0004
State: South Carolina
Summary: This plan amendment updates Interprofessional Consultation Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-23-0040
State: Colorado
Summary: This SPA updates the service unit limit from 240 to 360 per client for targeted case management-transition coordination, adds eligible individuals that reside in a hospital, adds eligible individuals that are at-risk of institutionalization, and changes the name of the service from Transition Services to Transition Coordination Services.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT