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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 41 to 50 of 64 results
Transmittal Number: NC-23-0015
State: North Carolina
Summary: This amendment would allow Medically Monitored Inpatient Withdrawal Services (Non-Hospital Medical Detoxification).
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
  • Other Licensed Practitioners
  • Preventative Services
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SC-23-0004
State: South Carolina
Summary: This amendment proposes to allow pharmacists to screen individual patients for hormonal contraception and administer through a standing order.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0037
State: Vermont
Summary: This amendment proposes to add Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT) and Paramedic provider types.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SC-23-0010
State: South Carolina
Summary: This amendment proposes to consolidate Registered Nurse (RN) and Licensed Practical Nurse (LPN) services into one consolidated nursing service and revises policy for reimbursement to family members under the Early and Periodic Screening Diagnosis and Treatment (EPSDT) benefit.
Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SC-23-0009
State: South Carolina
Summary: This amendment proposes to increase rates and service limits for two autism spectrum disorder (ASD) services and add two additional codes with service description to the ASD Services Manual.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-23-0025
State: Oregon
Summary: This amendment is to add additional providers into the other licensed providers section of the state plan.
Approval Date:
Effective Date:
Topics:
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-23-0019
State: North Carolina
Summary: This amendment would expand providers who are eligible to furnish case management services for two Target Case Management Groups (TCM). (Children at risk ages 0-5 and pregnant women), by revising the provider qualifications.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
  • Coverage
  • Reimbursement
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NH-23-0013
State: New Hampshire
Summary: This amendment for Clinic Services addresses the compliance concerns raised in the February 24, 2023 companion letter, for an April 1, 2023, effective date.  
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Clinic
  • Other Licensed Practitioners
  • Prior Authorization
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-23-0009
State: District of Columbia
Summary: To add provider types and services for children and adolescents under age 21 who need autism spectrum disorder (ASD) services.
Approval Date:
Effective Date:
Topics:
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-23-0037
State: New York
Summary: To allow pharmacists and pharmacy interns to provide Medicaid covered services to the limits of their scope of practice.
Approval Date:
Effective Date:
Topics:
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT