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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 181 to 190 of 205 results
Transmittal Number: AK-13-001
State: Alaska
Summary: Updates the optional state supplement standards for special income level groups consistent with the published 2013 federal poverty levels.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Cost Sharing
  • Eligibility
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-12-05
State: District of Columbia
Summary: Modifies Methods and Standards for Making Medical Assistance Payments to Intermediate Care Facilities for Individuals with Intellectual Disabilities.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PR-11-003
State: Puerto Rico
Summary: Cost Sharing.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NV-11-014
State: Nevada
Summary: Pharmacy Wholesale Acquisition Cost Benchmark.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OH-10-001
State: Ohio
Summary: State plan amendment TN 10-001 modifies rate growth for nursing facilities. It also includes a new provision that provides an additional amount for real estate taxes for those facilities that had a credit reducing their real estate taxes reflected on the base year cost report to zero. This amendment also modifies the state fiscal year 2011 Medicaid per diem rate for the states ICF-MR outlier facility.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-11-14
State: Kansas
Summary: This amendment provides for Medicaid coverage of comprehensive tobacco cessation services for pregnant women, including both counseling and pharmacotherapy, without cost sharing.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DE-11-004
State: Delaware
Summary: Update Delaware's State Plan to exempt Medicare cost sharing benefits paid under the Medicare Savings.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-10-028
State: Minnesota
Summary: Recipient Cost Sharing.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AZ-10-001
State: Arizona
Summary: Implements nominal cost sharing.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-10-009
State: Indiana
Summary: Exempt Medicare cost - sharing benefits paid under the Medicare Savings Program from estate recovery in accordance with MIPPA Section 115.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT