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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 81 results
Transmittal Number: MN-23-0009
State: Minnesota
Summary: This amendment changes the requirements for mental health targeted case management (TCM) services for children under Minnesota’s Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-23-0009
State: Oregon
Summary: This Alternative Benefit Plan amendment is to add coverage and reimbursement of community violence prevention services performed by certified violence prevention professionals as a new benefit.
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-23-0007
State: Colorado
Summary: This amendment allows the 240 service unit limit per client for targeted case management services to be exceeded if medically necessary.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-23-0002
State: Nebraska
Summary: This amendment proposes to add an Alternative Benefit Plan required for the adult population for Medicaid expansion.
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-23-0001
State: Connecticut
Summary: Established coverage and reimbursement for a new Targeted Case Management (TCM) services for Integrated Care for Kids (InCK) in New Haven, CT. The target group is individuals under age 21 and those who are pregnant or up to twelve months postpartum residing in zip coded 0610 and 0611.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MA-22-0042
State: Massachusetts
Summary: The amendment is to update the Standard Alternative Benefit Plan (ABP) to include Continuous Skilled Nursing services under the Private Nursing provider type.
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-22-0003
State: Vermont
Summary: This amendment adds mandatory coverage of routine patient costs in qualifying clinical trials per the Consolidated Appropriations Act of 2021 to the state's ABP.
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: HI-21-0013
State: Hawaii
Summary: This amendment updates the Alternative Benefit Plan (ABP) pages to align with recent changes to the pharmacy services benefit.
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-21-0015
State: Vermont
Summary: This amendment is to add medical nutrition therapy benefits to its ABP.
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-21-0003
State: Vermont
Summary: This amendment is to expand the provider types that can authorize home health plans of care and order durable medical equipment in its ABP.
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT