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.

Results

Displaying 1 - 10 of 15838

American Samoa

This amendment invokes 1902(j) authority to exempt American Samoa from the requirements under 1902(a)(84)(D) of the Social Security Act.

Approval Date: July 11, 2025
Effective Date: January 1, 2025

South Dakota

This amendment covers of screening, diagnostic, and targeted case management services for eligible juveniles who are inmates of a public institution in accordance with Section 5121 of the Consolidated Appropriations Act of 2023 and the termination of coverage of targeted case management services provided to adults with mental illness and to youth transitioning out of residential services.

Approval Date: July 10, 2025
Effective Date: January 1, 2025
Topics: Coverage and Reimbursement

Hawaii

This amendment implements the new third-party liability requirements under the Consolidated Appropriations Act of 2022.

Approval Date: July 9, 2025
Effective Date: January 1, 2025

Oregon

This plan amendment updates reimbursement for inpatient hospital psychiatric services delivered by DRG hospitals.

Approval Date: July 9, 2025
Effective Date: January 1, 2025

Colorado

This plan amendment revises Community Mental Health Centers and adds Comprehensive Community Behavioral Health Providers and Essential Behavioral Health Safety Net Providers.

Approval Date: July 9, 2025
Effective Date: September 11, 2024

Michigan

This plan amendment extends the MIDocs Consortium within the State of Michigan’s Graduate Medical Education (GME) Innovations Sponsoring Institution Program.

Approval Date: July 8, 2025
Effective Date: April 1, 2025

North Carolina

This plan amendment updates the Personal Care Services (PCS).

Approval Date: July 8, 2025
Effective Date: April 1, 2025

Kansas

This plan amendment reflects the repair rates for maintenance of the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) equipment which will be increased to 80% of the Medicare fee schedule.

Approval Date: July 8, 2025
Effective Date: April 1, 2025

Arkansas

This plan amendment unbundles and increases rates for prenatal, delivery and postpartum professional services by 70%.

Approval Date: July 8, 2025
Effective Date: July 1, 2025

Kansas

This plan amendment updates the Physician services and reimbursement rates.

Approval Date: July 8, 2025
Effective Date: April 1, 2025