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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 321 to 330 of 1176 results
Transmittal Number: PR-21-0004
State: Puerto Rico
Summary: To update policies regarding how Medicaid applications may be submitted, the frequency and methods used for renewal of eligibility, requirements when determining ineligible assistance with application and renewal notice requirements and the use of authorized representatives.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Coverage
Links:
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Transmittal Number: NV-22-0002
State: Nevada
Summary: The amendment updates the maintenance needs standard for community spouses to be set at the maximum permitted.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: KY-21-0005
State: Kentucky
Summary: To adopt the optional eligibility group serving individuals eligible for the Medicaid Program for All-Inclusive Care for the Elderly (PACE).
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: DE-21-0009
State: Delaware
Summary: modifies the targeting criteria, by maintaining the minimum age as fourteen (14) and

removing the maximum age of twenty-five (25).
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-21-0033
State: Connecticut
Summary: CT-21-0033 which proposed to amend Connecticut's Medically Needy Income Levels and the income standards for Connecticut's optional state supplement program.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-21-0012
State: Nebraska
Summary: Implements the Ticket to Work Basic and Medically Improved Coverage Groups.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: GA-21-0001
State: Georgia
Summary: Revised the alternative paper application used for multiple human services program, and the alternative single, streamlined online application.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: ME-21-0023
State: Maine
Summary: This SPA updates the income standards for recipients of Maine’s optional state supplement payments.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: OK-21-0036
State: Oklahoma
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment to disregard income, resources, and a build-up of assets as assistance from a federal, state, local or tribal government for aged, blind and disabled populations.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
Links:
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Transmittal Number: WI-21-0012
State: Wisconsin
Summary: Substance-used Disorder (SUD) Health Home to add specialized SUD treatment and support services for Medicaid beneficiaries
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT