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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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Transmittal Number: WA-13-08
State: Washington
Summary: Implements Health Homes as authorized under Section 2703 of the Patient Protection and Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Health Services Initiatives
  • Managed Care
  • Program Administration
Links:
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Transmittal Number: OR-12-14
State: Oregon
Summary: Authorizes the home and community-based attendant services and supports to the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Health Services Initiatives
  • Program Administration
Links:
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Transmittal Number: RI-13-003
State: Rhode Island
Summary: Increases the amount of allowable home equity interest for individuals seeking Medicaid eligibility for nursing facility services or other long-term care services.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Financing & Reimbursement
  • Health Services Initiatives
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PA-13-003
State: Pennsylvania
Summary: Updates Plan for Medical Assistance.
Approval Date:
Effective Date:
Topics:
  • Health Services Initiatives
Links:
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Transmittal Number: RI-12-009
State: Rhode Island
Summary: Authorizes the co-location of behavioral health providers.
Approval Date:
Effective Date:
Topics:
  • Health Services Initiatives
Links:
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Transmittal Number: PR-12-004
State: Puerto Rico
Summary: Provider screening and enrollment.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Health Services Initiatives
  • Program Administration
Links:
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Transmittal Number: NJ-11-09
State: New Jersey
Summary: Adds Tobacco cessation services for pregnant women.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Health Services Initiatives
Links:
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Transmittal Number: AZ-10-006
State: Arizona
Summary: Eliminates certain optional services and imposes limitations on other optional services for adults age 21 and older Specifically, this SPA eliminates podiatrists services preventive dental services and well and physical exams. This SPA also limits prosthetics coverage and organ transplantation Dental services also are limited to treatments of oral disease prior to transplantation and to extractions prior to treatment of certain cancers.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Dental
  • Eligibility
  • Health Services Initiatives
  • Program Administration
Links:
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Transmittal Number: ME-09-008
State: Maine
Summary: Grants full Medicaid coverage to all otherwise eligible alien children or pregnant women fully residing in the United States.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Health Services Initiatives
Links:
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Transmittal Number: CA-09-006
State: California
Summary: Implements Section 1915j authority for self directed personal assistance services to transition Medi Cal beneficiaries currently receiving services through the In-Home Supportive Services Plus Section 1115 Demonstration project which expires on September 30, 2009.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Health Services Initiatives
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT