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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 1581 to 1590 of 1669 results
Transmittal Number: TN-11-010B
State: Tennessee
Summary: This amendment assures that Tennessee is in compliance with Section 4107 provision of the Affordable Care Act which requires that States offer tobacco cessation counseling services for pregnant women.
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Transmittal Number: NE-11-03
State: Nebraska
Summary: Corrects the State Plan to properly indicate Nebraska's coverage of Medically Needy Caretaker Relatives.
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Transmittal Number: CT-10-020
State: Connecticut
Summary: Expands the State's Medicaid Program to add smoking cessation for pregnant women as a new benefit under the ACA.
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Transmittal Number: CA-10-014
State: California
Summary: Incorporates the State Eligibility Option for Family Planning Services.
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Topics:
  • Benefits
  • Eligibility
  • Program Administration
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Transmittal Number: CA-10-016
State: California
Summary: Rehabilitative Mental Health Services, Psychiatric Inpatient Hospital Services, and EPSDT.
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Transmittal Number: MD-10-14
State: Maryland
Summary: This SPA, in accordance with Section 115 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPP A), exempts from the Medicaid estate recovery process the Medicare cost sharing benefits paid by the Medicaid program under the Medicare Savings Program for categories of Medicare and Medicaid dual eligibles aged 55 and older, with dates of service on or after January 1, 2010.
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Transmittal Number: MO-10-10
State: Missouri
Summary: Add detoxification to services available under the Comprehensive Substance Treatment and Rehabilitation Services Section.
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Transmittal Number: DE-08-004
State: Delaware
Summary: School based health services.
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Transmittal Number: CA-10-009
State: California
Summary: Prohibits the estate recovery of Medicare cost sharing benefits for dual eligible beneficiaries age 55 and over.
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  • Benefits
  • Eligibility
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: NE-10-15
State: Nebraska
Summary: Proposes to move psychiatric partial hospitalization services from the 1915(b) waiver to the state plan.
Approval Date:
Effective Date:
Topics:
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