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 11 to 20 of 72 results
Transmittal Number: MS-24-0006
State: Mississippi
Summary: This amendment allows the Division of Medicaid to include coverage of home health services provided by a licensed practical nurse under the supervision of a registered nurse.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Home Health
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: GA-24-0003
State: Georgia
Summary: This amendment proposes to allow licensed professional counselors, licensed marriage and family therapists, and certified peer specialists to deliver services and be reimbursed by Federally Qualified Health Centers according to the Practitioner's Practice Act.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
  • Preventive Services
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SC-24-0003
State: South Carolina
Summary: This amendment proposes to update the description of physical therapy, occupational therapy, and services for individuals with speech, hearing, and language disorders to align with 42 CFR 440.110. It will also add coverage for medically necessary audiological services for members with full benefits who are ages 21 years and older.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Benefits
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-23-0012
State: Connecticut
Summary: This amendment continues certain flexibilities previously approved in Disaster Relief State Plan Amendments and a Section 1135 Disaster Relief waiver.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
  • Reimbursement
  • Disaster Relief
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: RI-24-0007
State: Rhode Island
Summary: This amendment proposes a revision to the State Plan language for Provider qualifications regarding Enhanced MHPRR (E-MHPRR) services.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
  • Managed Care
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IL-24-0001
State: Illinois
Summary: This SPA is to add genetic counseling services provided by licensed genetic counselors.
Approval Date:
Effective Date:
Topics:
  • Other Licensed Practitioners
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WA-24-0007
State: Washington
Summary: This amendment will add Community Health Aide Providers (CHAPs) to the other licensed practitioner's benefit in the state plan.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-24-0001
State: Vermont
Summary: This amendment proposes to add coverage of residential eating disorder treatment.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Preventative Services
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WA-24-0038
State: Washington
Summary: This amendment will remove a typographical error in Attachment 3.1-B page 21a.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WA-24-0012
State: Washington
Summary: This amendment will add Substance Use Disorder Professionals, Licensed Independent Clinical Social Worker Associates, Licensed Advance Social Worker Associates, Licensed Marriage & Family Therapist Associates, & Licensed Mental Health Counselor Associates as Other Licensed Practitioners in the State Plan.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT