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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 51 to 60 of 343 results
Transmittal Number: OK-23-0007
State: Oklahoma
Summary: This amendment updates the State's Alternative Benefit Plan (ABP) to add managed care organizations (MCO) and prepaid ambulatory health plans (P AHP) for expansion adults.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: CA-18-0041
State: California
Summary: This amendment aligns the Alternative Benefit Plan (ABP) with the Medicaid state plan by adding Diabetes Prevention Program (DPP) services for adults ages 18 years and older who meet certain federal Centers for Disease Control and Prevention (CDC) Diabetes Prevention Recognition Program (DPRP) eligibility criteria.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: WA-22-0011
State: Washington
Summary: This amendment will bring the Alternative Benefit Plan (ABP) into alignment with changes that have already been in the Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: SD-23-0001
State: South Dakota
Summary: This SPA was submitted to add an Alternative Benefit Plan (ABP) to South Dakota’s state plan to cover the Medicaid Expansion

Population, effective July 1, 2023.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NH-23-0023
State: New Hampshire
Summary: This amendment proposes to add mandatory Medicaid State Plan Coverage of Medication Assisted Treatment.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: VT-23-0019
State: Vermont
Summary: This amendment proposed to amend prior authorization requirements for chiropractic services, physical therapy, occupational therapy, speech therapy and hearing aids.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: OH-23-0003
State: Ohio
Summary: Makes administrative corrections to Ohio's Alternative Benefit Plan (ABP), specifically ABP 5, to better align it with the Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: CT-22-0036
State: Connecticut
Summary: This amendment is to update the Alternative Benefit Plan (ABP) to expand coverage for naturopath services and behavioral health clinician services.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: NH-22-0052
State: New Hampshire
Summary: This amendment proposes to provide a comprehensive adult dental benefit that includes diagnostic, preventive, limited periodontal, restorative, and oral surgery services for all Medicaid eligible adults age 21 and older within the Alternative Benefit Plan.
Approval Date:
Effective Date:
Topics:
  • Dental
  • Alternative Benefit Plan
Links:
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Transmittal Number: IN-22-0009
State: Indiana
Summary: This amendment updates the alternative benefit plan to include coverage requirements for routine patient costs associated with participation in clinical trials and extends the prescription drug supply limit from thirty (30) days to ninety (90) days for the Health Indiana Plan (HIP) Basic group.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT