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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 61 to 70 of 261 results
Transmittal Number: SD-20-0007
State: South Dakota
Summary: implements inflationary rate increases appropriated by the state during the 2020 legislative session
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: CA-20-0045
State: California
Summary: Increase the Blind Federal Poverty Level (FPL) and the Aged and Disabled FPL program income limits by increasing the income disregard to all countable income above the Supplemental Security Income/State Supplementary Payment (SSI/SSP) standard 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AK-20-0006
State: Alaska
Summary: Proposes to add chore services to the 1915(k) Community First Choice (CFC) state plan benefit
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-20-0017
State: Vermont
Summary: This SPA permits licensed pharmacists to enroll in the Vermont Medicaid program, allowing coverage of COVID-19 diagnostic testing and specimen collection by licensed pharmacists to the extent permitted by state and federal law.
Approval Date:
Effective Date:
Topics:
  • Medicaid-Medicare Issues
  • Program Administration
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NJ-20-0007
State: New Jersey
Summary: Authorizes $67,250,000 in Charity Care Subsidy payment under New Jersey’ s DSH program for the first three months of the 2021 DSH state plan rate year (SPRY) which runs con-currently with the state fiscal year (July 1, 2020 to June 30, 2021
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-20-0001
State: Indiana
Summary: Tobacco Cessation
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
  • All Drugs Used for Smoking Cessation
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: TX-20-0020
State: Texas
Summary: This state plan amendment updates the durable medical equipment, prosthetics, orthotics, supplies (DMEPOS) and vision care services fee schedules.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VA-20-0008
State: Virginia
Summary: The purpose of this SPA is to update the ARTS state plan pages to incorporate general updates to the program, including updates related to medication assisted treatment, defining the scope of practice for certified substance abuse counselors, including substance use disorder counseling within that scope, and guidance related to telemedicine requirements.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-15-0048
State: New York
Summary: Proposes to eliminate the reduction to the statewide base price for inpatient services
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: VA-20-0017
State: Virginia
Summary: The purpose of this SPA is to amend the state plan to allow nurse practitioners, clinical nurse specialists, and physician assistants to order and certify home health services.  
Approval Date:
Effective Date:
Topics:
  • Health Homes
  • Program Administration
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT