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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 331 to 340 of 1669 results
Transmittal Number: KY-21-0002
State: Kentucky
Summary: proposes to add medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: NJ-21-0007
State: New Jersey
Summary: allow any licensed provider to provide navigator services in the Office-Based Addiction Treatment (OBAT) program.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: KY-21-0004
State: Kentucky
Summary: Implement the Program of All-inclusive Care for the Elderly (PACE) program in the state.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: CT-21-0029
State: Connecticut
Summary: increase the personal needs allowance from $60 to $75 for residents of long-term care facilities who are enrolled in Medicaid.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
Links:
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Transmittal Number: IL-20-0014
State: Illinois
Summary: Adds medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
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Transmittal Number: VA-21-0018
State: Virginia
Summary: Expands the substance use disorder service called “Preferred Office-Based Opioid Treatment” which has been available only to individuals with a primary diagnosis of opioid use disorder to individuals with a substance-related or addictive disorder.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: WV-21-0011
State: West Virginia
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment to suspend the requirement for ambulance providers to transport beneficiaries to the nearest appropriate medical facility and to suspend the requirement for beneficiaries to be stretcher bound to use non-emergency ambulance services, to ensure that ambulance services and service destinations are not restricted during the public health emergency period.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
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Transmittal Number: NJ-19-0014
State: New Jersey
Summary: Adds peer support and coordination services, which are provided to individuals after an opioid overdose, to the state’s Alternative Benefit Plan (ABP). These peer support and coordination services have been added to the benefit package in the Medicaid state

plan and this SPA would align the benefits of both benefit packages.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: WV-21-0002
State: West Virginia
Summary: Adds medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-21-0014
State: Oregon
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment to include coverage and reimbursement for the administration of monoclonal antibody treatment or any drug treatment authorized under an FDA Emergency Use Authorization for COVID-19.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT