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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 1011 - 1020 of 15689

Louisiana

This amendment is to comply with Section 5112 of the Consolidated Appropriations Act (CAA) 2023, which requires states to provide continuous eligibility to children under the age of 19 in Medicaid.

Approval Date: May 14, 2024
Effective Date: January 1, 2024
Topics: Eligibility Medicaid and CHIP Program (MACPro)

Massachusetts

This amendment is to update the Standard Alternative Benefit Plan to update Optometrists' Services.

Approval Date: May 14, 2024
Effective Date: February 2, 2024
Topics: Alternative Benefit Plan Benefits

Massachusetts

This amendment is to update the Care Plus Alternative Benefit Plan to update Optometrists' Services.

Approval Date: May 14, 2024
Effective Date: February 2, 2024
Topics: Alternative Benefit Plan Benefits

Virginia

Updates the state plan language referenced in the section, Other Licensed Providers. The SPA removes the reference to ophthalmologists, as these are physicians and are covered under the Physician Services section of the state plan, clarifies that optometrists and opticians are licensed providers and lists each type of other licensed provider that can enroll with the Virginia Department of Medical Assistance Services.

Approval Date: May 14, 2024
Effective Date: January 1, 2024
Topics: Other Licensed Practitioners

Nevada

This amendment is to extend coverage of pregnancy-related services, including extended pregnancy-related services from 60 days to 12 months because of the passage of Senate bill 232 during the 82^nd^ Legislative session (2023) and is consistent with Nevada’s extension of the postpartum eligibility period to 12 months.

Approval Date: May 14, 2024
Effective Date: January 1, 2024

Texas

This amendment is to require a Prescribed Pediatric Extended Case Center (PPECC) to provide transportation to a recipient when the recipient’s physician determines the recipient is stable to receive transportation services and the parent or legal guardian wants the recipient to receive transportation services.

Approval Date: May 14, 2024
Effective Date: September 1, 2024
Topics: Coverage Transportation

Idaho

This SPA revises Idaho's Enhanced Alternative Benefit Plan to update three existing benefits: Targeted Case Management for At-Risk Children; Community-Based Rehabilitation

Approval Date: May 13, 2024
Effective Date: January 1, 2023
Topics: Alternative Benefit Plan

Idaho

This SPA updates Idaho's Basic Alternative Benefit Plan to update three existing benefits: Targeted Case Management for At-Risk Children; Community-Based Rehabilitation Services for Adults; and Community-Based Rehabilitation Services for Children.

Approval Date: May 13, 2024
Effective Date: January 1, 2023
Topics: Alternative Benefit Plan

Wisconsin

This Amendment provides 12 months continuous eligibility for children under the age of 19 in all mandatory and optional eligibility groups (excluding Medically Needy).

Approval Date: May 13, 2024
Effective Date: January 1, 2024
Topics: Eligibility Medicaid and CHIP Program (MACPro)

Delaware

This amendment provides 12 months of continuous eligibility to children under age 19 enrolled in Medicaid.

Approval Date: May 10, 2024
Effective Date: January 1, 2024
Topics: Coverage Eligibility Medicaid and CHIP Program (MACPro) Program Administration