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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 1501 to 1510 of 1731 results
Transmittal Number: CT-12-024
State: Connecticut
Summary: Revise the reimbursement methodology for obstetrical services. To improve access to obstetrical services. To Increase reimbursement rates for vaginal deliveries and related care.
Approval Date:
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Topics:
  • Financing & Reimbursement
  • Benefits
Links:
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Transmittal Number: CO-13-002
State: Colorado
Summary: Pregnant Women Income Limit Increase.
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  • Benefits
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Transmittal Number: UT-13-003
State: Utah
Summary: Rehabilitative Mental Health Services.
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Effective Date:
Topics:
  • Benefits
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Transmittal Number: UT-13-003
State: Utah
Summary: Provides Rehabilitative Mental Health Services.
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Topics:
  • Benefits
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Transmittal Number: CA-12-011
State: California
Summary: Updates the provision of concurrent palliative and curative care for children using hospice services.
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  • Benefits
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Transmittal Number: MD-13-01
State: Maryland
Summary: This SPA moves optometry services from optional coverage to a mandatory physician service, in order to allow Optometrists the ability to participate in Maryland's Medicaid Electronic HealthRecord (EHR) Incentive Program.
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Effective Date:
Topics:
  • Benefits
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Transmittal Number: NJ-05-05
State: New Jersey
Summary: Requires prior authorization for adult and pediatric day health services and place limitations on amount, duration and scope of services.
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Topics:
  • Benefits
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: IA-12-019
State: Iowa
Summary: Proposes to delete a reference to therapeutically certified optometrists, clarify coverage criteria, increase the frequency of new frames for children through 7 years of age, and allow coverage of photo chromatic lenses and press on prisms effective November 1, 2012.
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  • Benefits
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Transmittal Number: SC-12-020
State: South Carolina
Summary: This SPA This SPA reflects changes in pharmacy coverage required by Section 175 of the Medicare improvement for Patients and Providers.
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Transmittal Number: CO-12-026
State: Colorado
Summary: Excludes from coverage benzodiazepines for all conditions and barbiturates for the treatment of epilepsy, cancer and chronic mental health disorders for full benefit duel eligible as Medicare Part D will provide this coverage.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Prescription Drugs
  • Program Administration
Links:
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