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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.

Results

Displaying 1291 - 1300 of 15693

Minnesota

This amendment provides assurances in Attachment 4.22-B related to third party liability, under the Consolidated Appropriations Act of 2022. In addition, the state is restoring a statement related to long term care insurance, originally approved under SPA 09-001, but was missing from the submission of page 3 under previously-approved SPA 22-0015.

Approval Date: February 27, 2024
Effective Date: January 1, 2024

Mississippi

This amendment allows the Division of Medicaid to comply with the Inflation Reduction Act (IRA) requirement to attest to the coverage of all Advisory Committee on Immunization Practices recommended vaccines and their administration.

Approval Date: February 27, 2024
Effective Date: October 1, 2023
Topics: Coverage Program Administration Vaccine

Indiana

This Amendment is to renew Indiana’s 1915(i) State Plan HCBS benefit.
 

Approval Date: February 27, 2024
Effective Date: June 1, 2024
Topics: Home and community based services

Minnesota

This SPA is to amend its state plan to add a new 1915 home and community-based services (HCBS) benefit.

Approval Date: February 27, 2024
Effective Date: June 1, 2024
Topics: Home and community based services

Minnesota

This SPA is to amend its state plan to add a new 1915(k) Community First Choice (CFC) benefit.

Approval Date: February 27, 2024
Effective Date: June 1, 2024
Topics: Home and community based services

Arkansas

This amendment is to renew Arkansas’ 1915(i) State Plan HCBS benefit with the following changes: 1) Update the line of authority for operating the state Plan benefit to the Medicaid operating agency, 2) Authorize telehealth visits for 1915(i)-eligibility re-evaluations, 3) Replace transition language with HCBS settings compliance language, 4) Add two new services: assertive community treatment and intensive in-home services, and 5) Rename mobile crisis intervention to crisis stabilization intervention.

Approval Date: February 27, 2024
Effective Date: March 1, 2024
Topics: Home and community based services

Arkansas

This amendment is to renew Arkansas’ 1915(i) State Plan HCBS benefit with the following changes: 1) Remove the concurrent 1115 authority, 2) Authorize telehealth visits for 1915(i)-eligibility re-evaluations, and 3) Replace transition language with HCBS settings compliance language.

Approval Date: February 27, 2024
Effective Date: March 1, 2024
Topics: Home and community based services Reimbursement

Illinois

This SPA elects the Individuals Eligible for Family Planning Services (“Family Planning”) eligibility group and elect to add Presumptive Eligibility (PE) for the Family Planning eligibility group.

Approval Date: February 26, 2024
Effective Date: November 30, 2022
Topics: Eligibility Medicaid and CHIP Program (MACPro)

South Dakota

This amendment proposes to exempt children with non-Title IV-E adoption assistance under age 21 and individuals under age 21 with an income above 133% of the federal poverty level from the PCCM program.

Approval Date: February 26, 2024
Effective Date: November 1, 2023

West Virginia

Cover adult vaccine administration in accordance with Advisory Committee on Immunization Practices (ACIP) recommendations, in compliance with guidance on mandatory vaccine coverage and administration for adults in alignment with ACIP.

Approval Date: February 26, 2024
Effective Date: October 1, 2023