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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 276 results
Transmittal Number: VA-21-0002
State: Virginia
Summary: Effective March 31, 2021, this amendment removes a limit for psychiatric hospitalization that prevented more than 21 days in a hospital in a 60-day period for the same or similar diagnosis or treatment plan and updates practitioner terminology as it relates to working titles.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Current State Plan
Links:
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Transmittal Number: IN-21-0001
State: Indiana
Summary: This amendment proposes to add medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: MN-21-0004
State: Minnesota
Summary: CMS is approving the state’s request to amend its 1915(i) state plan home and community-based services (HCBS) benefit, transmittal number TN 21-00004.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-21-0010
State: Oregon
Summary: Effective April 1, 2021, this amends the state's coverage pages to include updates to covered over-the-counter items. 
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Benefits
Links:
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Transmittal Number: WI-21-0010
State: Wisconsin
Summary: Effective February 1, 2021, this amendment adds residential substance use disorder treatment as a covered service in the state plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Current State Plan
  • Program Administration
Links:
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Transmittal Number: AR-21-0003
State: Arkansas
Summary: This amendment proposes to add a new section for Medication Assisted Treatment (MAT) based on guidance in CMS’s State Health Official Letter #20005, dated December 30, 2020.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: NY-21-0003
State: New York
Summary: This amendment revises the State Plan to establish and authorize payment for rehabilitative and preventative services delivered to children residing in a structured and supportive living environment.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: SC-21-0009
State: South Carolina
Summary: This plan amendment updates the name of the designee to submit State Plan Amendments (SPAs) for the state of South Carolina.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: TX-21-0021
State: Texas
Summary: This state plan amendment updates the fee schedule for clinical diagnostic laboratory services  
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Current State Plan
Links:
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Transmittal Number: AL-21-0002
State: Alabama
Summary: Updates the Alabama Coordinated Health Network (ACHN) Quality Bonus Payment date from July 2021 to October 2021, effective March 1, 2021. The reason for the change is to allow enough run time for historical claims data. 
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT