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 381 - 390 of 15689

Wisconsin

This plan amendment updates the annual nursing home fee-for-service rate.

Approval Date: December 5, 2024
Effective Date: July 1, 2024

Maine

This plan amendment updates the payment methodology for family planning se1vices paid under the clinic benefit.

Approval Date: December 5, 2024
Effective Date: July 1, 2024

New Mexico

This amendment is to establish coverage for doula services as a new reimbursable preventative service for individuals navigating pregnancy-related care adding coverage for lactation provider services as a new reimbursable preventative to increase access to education and management to prevent and solve breastfeeding problems and encourage support to breastfeeding mother-infant.

Approval Date: December 5, 2024
Effective Date: October 1, 2024
Topics: Coverage and Reimbursement

Minnesota

This plan amendment updates rates for Adult Residential Services.

Approval Date: December 5, 2024
Effective Date: January 1, 2025

Mississippi

This proposed amendment requires newly enrolling and revalidating providers to disclose affiliation information.

Approval Date: December 5, 2024
Effective Date: October 1, 2024
Topics: Program Administration

Minnesota

This plan amendment establishes rates for Medication Assisted Treatment (MAT) for Opioid Treatment Programs (OTP).

Approval Date: December 5, 2024
Effective Date: January 1, 2025

Maine

This plan amendment authorizes a payment to supplement personal cru·e se1vices provided by qualified Private Non-Medical Institutional "Appendix C" facilities.

Approval Date: December 5, 2024
Effective Date: August 30, 2024

Ohio

This plan amendment updates the intermediate care Facility for individuals with Intellectual Disabilities Peer Group 5 Provider Rate.

Approval Date: December 5, 2024
Effective Date: September 17, 2024

Ohio

This plan amendment updates the Inte1mediate Care Facility for Individuals with Intellectual Disabilities Payment.

Approval Date: December 5, 2024
Effective Date: July 1, 2024

Wisconsin

This SPA allows coverage of medically necessary prescribed drugs that are not covered outpatient drugs, including drugs authorized for import by the U.S. Food and Drug Administration (FDA), during drug shortages.

Approval Date: December 5, 2024
Effective Date: July 1, 2024