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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 141 to 150 of 1188 results
Transmittal Number: MO-23-0030
State: Missouri
Summary: State made changes to several to the income and resource disregards applied in the eligibility determinations for the optional Ticket to Work and Work Incentives Improvement Act (WEEIAA) eligibility group.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: WA-23-0048
State: Washington
Summary: This amendment is to comply with Section 1940 (42CFR 1396w) of the Social Security Act by contracting with vendors who specialize in automated financial institution verification for Medicaid agencies and check the financial resources of Medicaid applicants/recipients.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: NE-23-0013
State: Nebraska
Summary: This SPA increase the aged, blind, or disabled personal needs allowance (PNA) from $60 to $75 for individuals, and from $120 to $150 for couples.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: NV-23-0030
State: Nevada
Summary: This amendment is to expand eligibility for pregnant individuals whose incomes are up to 185 percent of the federal poverty level (FPL).
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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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:
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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:
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Transmittal Number: OH-23-0041
State: Ohio
Summary: Pursuant to state legislation that rescinds Medicaid coverage and payment provisions for outpatient health facilities (OHF), this SPA proposes to remove the obsolete Attachment 3.1-A and 4.19-B pages from the Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Clinic
Links:
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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:
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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:
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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