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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 351 to 360 of 1419 results
Transmittal Number: IA-21-0006
State: Iowa
Summary: Proposes to add medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
Links:
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Transmittal Number: IL-21-0010
State: Illinois
Summary: Proposes to make changes to post-eligibility treatment of income (PETI) by imposing reasonable limits on deductions for incurred medical or remedial care expenses
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: WY-21-0009
State: Wyoming
Summary: To remove the optional eligibility group for Program of All-Inclusive Care for the Elderly (PACE) participants.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: AR-21-0007
State: Arkansas
Summary: Effective August 1, 2021, this amendment corrects an error regarding the required frequency of contacts between targeted case managers and beneficiaries.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: OK-21-0028
State: Oklahoma
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to align the Expansion Adult ABP with previously approved Disaster Relief SPAs.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Eligibility
Links:
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Transmittal Number: MN-21-0003
State: Minnesota
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to implement a more liberal income method for a disregard for pandemic unemployment assistance income under section 2102 of the CARES Act.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
Links:
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Transmittal Number: NH-21-0026
State: New Hampshire
Summary: The purpose of SPA #21-0026 is to comply with State Medicaid Director letter #10-021 of October 1, 2010 and to request an exception to the Recovery Audit Contract (RAC) program.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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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: OH-21-0014
State: Ohio
Summary: Effective May 1, 2021, this amendment adds greater clarification around Automatic Assignment of Rights. 
Approval Date:
Effective Date:
Topics:
  • Eligibility
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:
SHARE THIS MEDICAID STATE PLAN AMENDMENT