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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 31 to 40 of 43 results
Transmittal Number: MN-23-0014
State: Minnesota
Summary: This amendment changes the requirements for mental health targeted case management (TCM) services for vulnerable adults and/or adults with developmental disabilities.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MI-23-0014
State: Michigan
Summary: Provides an update to the TCM State Plan Amendment C (aging) changing references of “in person” to “face to face” as face-to-face encompasses both in-person and telehealth which allows for more flexibility to assist individuals eligible under the State Plan.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-23-0009
State: Minnesota
Summary: This amendment changes the requirements for mental health targeted case management (TCM) services for children under Minnesota’s Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-23-0007
State: Colorado
Summary: This amendment allows the 240 service unit limit per client for targeted case management services to be exceeded if medically necessary.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-23-0001
State: Connecticut
Summary: Established coverage and reimbursement for a new Targeted Case Management (TCM) services for Integrated Care for Kids (InCK) in New Haven, CT. The target group is individuals under age 21 and those who are pregnant or up to twelve months postpartum residing in zip coded 0610 and 0611.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-21-0016
State: North Dakota
Summary: This SPA removed pages that were left in the State Plan in error; by vacating coverage pages for Targeted Case Management for Individuals with a Traumatic Brain Injury and Targeted Case Management for Individuals in Pre - or Post - Adoption.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-21-0011
State: North Carolina
Summary: Adds a tribal Primary Care Case Management Program to the State Plan
Approval Date:
Effective Date:
Topics:
  • Indian Health Services
Links:
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Transmittal Number: MI-21-0009
State: Michigan
Summary: Provides authority to allow Tribal 638 pharmacies to be reimbursed at the Indian Health Services outpatient all-inclusive rate (A.I.R.) per visit
Approval Date:
Effective Date:
Topics:
  • Indian Health Services
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-20-0034
State: Washington
Summary: Creates a new, cost-based per diem rate for substance use disorder (SUD) residential treatment facilities (RTF) operated by the Indian Health Service (IHS) or Tribes to IHS-eligible American Indian/Alaska Native (AI/AN) Medicaid beneficiaries. 
Approval Date:
Effective Date:
Topics:
  • Indian Health Services
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NM-20-0022
State: New Mexico
Summary: Effective January 31, 2021, this amendment modifies rates payable to Indian Health Services and eligible tribal health facilities operating under Public Law (P.L.) 93-638.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Indian Health Services
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT