An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to temporarily extend the increased nursing facility per diem rate through June 30, 2023.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to authorize temporary extensions of increases to the personal needs allowance for certain beneficiaries, a delay in rebasing rates for federally qualified health centers and specialty hospitals, reimbursement rate increases for certain facilities and services, and modifications to the District’s health home program.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to Address premiums and cost-sharing requirements upon the end of the national COVID-19 public health emergency (PHE). Iowa will continue to suspend all co-payments and premiums for all Medicaid enrollees until June 1, 2024.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to extend, without, without modifications, the 5% rate increase to rates for nursing facilities, assisted living facilities, residential care facilities for a temporary period of 5/12/23 through 6/30/23.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. This amendment temporarily extends the waiver of the requirement for Registered Behavior Technicians to have a credential if they have completed all training but are unable to test due to COVID-19 related test center closure or COVID-19 related delays, which was originally approved in Disaster Relief SPA 20-0021.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to amend the provisions governing Targeted Case Management in order to extend the suspension of face-to-face requirements as approved in disaster relief SPA 20-0006, through November 11, 2023.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to extend the COVID-19 disaster relief provisions governing long-term personal care services in order to allow exceptions for the age, education and experience for the personal care services worker qualifications.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to disregard all economic impact payments or rebates authorized under section 2201 of the CARES Act, Sections 2 & 3 of The COVID-related Tax Relief Act of 2020, and section 9601 of The American Rescue Plan Act of 2021.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to amendment to disregard certain income, that would have otherwise been counted, for the purposes of determining eligibility.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to amendment to disregard monies received by any member or applicant as part of a settlement agreement with residents of the Holyoke Soldier's Home for the purposes of determining eligibility.
