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.

Results

Displaying 3411 - 3420 of 15689

New York
provides a temporary rate increase of 11.5 percent through New York's American Rescue Plan Act of 2021 for Outpatient Mental Health (OMH) Rehabilitative Services for workforce recruitment and retention activities.
Approval Date: June 27, 2022
Effective Date: February 1, 2022

Ohio
To align Ohio’s Alternative Benefit Plan with the Medicaid State Plan by adding language for coverage of inpatient hospital treatment of chemical dependency and intensive home-based treatment, which is a component of the OhioRISE program, under the early and periodic screening, diagnosis, and treatment benefit for individuals under age 21.
Approval Date: June 27, 2022
Effective Date: March 1, 2022
Topics: Alternative Benefit Plan

Illinois
Approved the State’s request to amend its State Plan to add a new 1915 Home and Community Based Services (HCBS) benefit. As part of the SPA, Illinois revised its 3.1-F pages, which authorizes Managed Care under 1932(a) to include the new 1915 program.
Approval Date: June 27, 2022
Effective Date: July 1, 2022

Arizona
The SPA attests to the state’s coverage of COVID-19 treatment, as required by section 1905(a)(4)(F) of the Social Security Act. CMS supports this change, as it is required by statute.
Approval Date: June 24, 2022
Effective Date: March 11, 2021
Topics: Benefits Disaster Relief Reimbursement

Montana
This amendment establishes compliance with the mandatory coverage and reimbursement of routine patient costs furnished in connection with participation in qualifying clinical trials under Section 1905(gg) of the Social Security Act.
Approval Date: June 24, 2022
Effective Date: January 1, 2022
Topics: Coverage and Reimbursement

California
CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to increase the reimbursement rate for the Newborn Metabolic Screenings effective July 1, 2020.
Approval Date: June 24, 2022
Effective Date: July 14, 2020
Topics: Disaster Relief Reimbursement

Iowa
CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is end Nursing Facility COVID Relief Rate (NF CRR) Payments to Medicaid enrolled nursing facilities.
Approval Date: June 24, 2022
Effective Date: July 1, 2022
Topics: Disaster Relief Reimbursement

Missouri
CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to modify the Personal Care and Personal Care assistance from the previously approved flexibilities in MO 20-0012. The modifications are to face to face visits, telephone signatures and training requirements.
Approval Date: June 24, 2022
Effective Date: August 1, 2022
Topics: Benefits Disaster Relief Home and community based services

Wyoming
CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to temporarily eliminate the "Deprivation" requirement relating to dependent children living with individuals who seek Medicaid on the basis of being parents and other caretaker relatives.
Approval Date: June 24, 2022
Effective Date: October 1, 2021
Topics: Disaster Relief Eligibility

Arizona
This SPA attests to the state’s coverage of COVID-19 testing, as required by section 1905(a)(F)(4) of the Social Security Act. CMS supports this change, as it is required by statute.
Approval Date: June 24, 2022
Effective Date: March 11, 2021
Topics: Benefits Disaster Relief Reimbursement