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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 1631 to 1640 of 1653 results
Transmittal Number: ND-08-008
State: North Dakota
Summary: Revisions to the Limitations on Amount Duration and Scope for Personal Care Services.
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Transmittal Number: OK-09-09
State: Oklahoma
Summary: Irrevocable Burial Contracts, increased from $7,500.00 to $10,000.00.
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Transmittal Number: NC-09-015
State: North Carolina
Summary: Adjusts State Fiscal Year (SFY) 2010 and freezes the SFY 2011 rates for Physician Services, Independent Laboratories and Eyeglasses based on an overall program reduction of 4.90 percent for SFY 2010. SFY 2011, rates are frozen at the SFY 2010 amount.
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Transmittal Number: VA-09-05
State: Virginia
Summary: To require prior authorization for community mental health services.
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Transmittal Number: AR-09-15
State: Arkansas
Summary: The Arkansas Title XIX State Plan has been amended to clarify information in the Early Preventive Screening Diagnosis and Treatment (EPSDT) screenings.
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Transmittal Number: FL-09-016
State: Florida
Summary: This amendment limits eyeglass frames for Medicaid recipients twenty one years of age and older to one pair every two years and for lenses to one pair every 365 days.
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Transmittal Number: MT-09-006
State: Montana
Summary: To include Hygienist Services with Other Practitioners as they are allowed to bill separately when working under public health supervision with a limited access permit.
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Transmittal Number: TX-09-21
State: Texas
Summary: The purpose of this amendment is to clarify reasonable limits on amounts for necessary medical or remedial care not covered under Medicaid.
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Transmittal Number: ME-09-007
State: Maine
Summary: This amendment permits an exception to estate recovery provisions with respect to individuals who receive benefits under LTC insurance policies sold under the Partnership program.
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Transmittal Number: LA-09-40
State: Louisiana
Summary: The purpose of this amendment is to implement the Long Term Care Insurance Partnership program which provides for the disregard of resources as well as estate recovery disregard in an amount equal to the insurance benefit payments made to or on behalf of an individual who is a beneficiary under a long-term care insurance policy, in accordance with the provisions of Section 6021 of the Deficit Reduction Act 2005.
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