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 81 to 90 of 1657 results
Transmittal Number: AR-23-0013
State: Arkansas
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to extend behavioral health physician screenings.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: LA-23-0018
State: Louisiana
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to extend certain COVID-19 disaster relief provisions governing long-term personal care services currently authorized under disaster relief SPA LA TN 20-0004.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IL-23-0018
State: Illinois
Summary: This amendment proposes to cover COVID-19 treatment, as mandated by Section 9811 of the American Rescue Plan.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IL-23-0019
State: Illinois
Summary: This amendment proposes to cover COVID-19 testing, as mandated by Section 9811 of the American Rescue Plan.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IL-23-0020
State: Illinois
Summary: This amendment proposes to cover COVID-19 vaccines and vaccine administration, as mandated by Section 9811 of the American Rescue Plan.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OK-23-0010
State: Oklahoma
Summary: This amendment proposes to assure the American Rescue Plan Act’s (ARP) mandatory coverage of the COVID-19 vaccine, testing, and treatment without cost sharing.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-22-0026
State: New York
Summary: This state plan amendment clarifies coverage of crisis intervention services.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-23-0004
State: Arkansas
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to provide standardized emotional/behavioral screening to Medicaid clients.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-21-0073
State: New York
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to add rehabilitative reintegration services to help beneficiaries with behavioral health problems to function in the community.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-21-0074
State: New York
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to expand the list of qualified providers for both Rehabilitative Preventive Residential Treatment (PRT) services and Rehabilitative Residential Treatment Services.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT