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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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Transmittal Number: NJ-14-03 T
State: New Jersey
Summary: Temporary Presumptive Eligibility.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: NH-13-0021-MM5
State: New Hampshire
Summary: This state plan page describes specific requirements for what consitutes state residency.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: SC-14-0022-MM3
State: South Carolina
Summary: The purpose of this new amendment was to align the Reasonably Predictable Changes in income selections on the S10 plan page to what the state entered on their Federally Facilitated Marketplace (FFM) data collection tool.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: MN-14-0005-MM7
State: Minnesota
Summary: Medicaid MAGI Hospital Presumptive Eligibility.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: TX-14-02-MM1
State: Texas
Summary: This state plan amendment establishes that the State is using federally required modified adjusted gross income (MAGI) methodology for determining Medicaid eligibility criteria for children, parents and caretakers, pregnant women, and individuals under age 21 who were formerly under Texas conservatorship.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-14-0003-MM3
State: Connecticut
Summary: SPA describes how the state will apply Modified Adjusted Gross Income (MAGi)-based methodologies consistent with 42 CFR §435.603.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: NJ-13-0025-MM4
State: New Jersey
Summary: Incorporates the Single State Agency SPA into New Jersey's Medicaid state plan in accordance with the Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: KS-14-0019-MM1
State: Kansas
Summary: Amend Modified Adjusted Gross Income (MAGI) page S30, for the MAGI based eligibility groups Mandatory Coverage - Infants and Children under Age 19.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: AL-14-0006-MM3
State: Alabama
Summary: SPA 14-006-MM3 supersedes AL-13-0022-MM3 and changes the age used for children in Alabama's MAGI-based income methodologies.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: NV-14-0002
State: Nevada
Summary: Eliminates the Option for Individuals Within Nevada's Newly Eligible Population Who Have Been Determined to be Seriously Mentally Ill to Disenroll from Medicaid Managed Care Plans.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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