U.S. flag

An official website of the United States government

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.

Search the Text of Medicaid State Plan Amendments
Filter by Approval Date
Filter by Effective Date
Showing 141 to 150 of 1183 results
Transmittal Number: HI-23-0010
State: Hawaii
Summary: This amendment is to implement twelve months continuous eligibility for children.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: LA-23-0028
State: Louisiana
Summary: This amendment is to include new resource disregards in its state plan for purposes of determining financial eligibility for certain Medicaid eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-23-0014
State: Nebraska
Summary: With this Amendment the state will disregard the resource value of certain vehicles under the authority of section 1902(r)(2) of the Act.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OH-23-0028
State: Ohio
Summary: To memorialize the new income standards for its optional state supplement program, beneficiaries of which are eligible for Medicaid under the state's plan.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-22-0029
State: Minnesota
Summary: With this Plan the state add to its state plan additional income and resource disregards under section 1902(r)(2) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SD-23-0018
State: South Dakota
Summary: This Amendment expands Hospital Presumptive Eligibility (HPE) to include the Adult Medicaid Expansion group.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-23-0015
State: Arkansas
Summary: The State adopts new financial disregards for certain optional non-MAGI eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: GA-23-0002-VLP
State: Georgia
Summary: This amendment is to provide full coverage of Medicaid benefits for lawfully present non-citizen pregnant individuals and children under 19, effective January 1, 2024.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
  • Benefits
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MD-23-0016
State: Maryland
Summary: To comply with federal requirements under section 5512 of the Consolidated Appropriations Act, 2023 (CAA 2023) to provide 12 months of continuous eligibility for children in Medicaid and the Children’s Health Insurance Program (CHIP) on or before January 1, 2024.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CA-23-0033
State: California
Summary: This SPA amendment is to allow for facilitated enrollment of California Work Opportunity and Responsibility to Kids (CalWORKs) beneficiaries into the Medicaid program without a separate financial eligibility determination.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT