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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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Transmittal Number: CA-11-007
State: California
Summary: Supplemental Reimbursement for Hospital Outpatient Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CA-11-006
State: California
Summary: Supplemental Reimbursement for Hospital Inpatient Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MA-10-005
State: Massachusetts
Summary: Pharmacy Copayments.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Prescription Drugs
Links:
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Transmittal Number: NY-08-29
State: New York
Summary: Rates Of Payment For Non-institutional Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: IA-10-013
State: Iowa
Summary: This implements a change in the reimbursement methodology to provide an additional $9,900,000 in medical assistance payment to the UlHC for inpatient/outpatient hospital services. No impact to the State.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: SC-11-010
State: South Carolina
Summary: The State shall not provide any payments for items or services provided under the State plan or under a waiver to any financial insittution or entity located outside of the United States.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: VT-11-009
State: Vermont
Summary: This SPA transmitted a proposed amendment to your Agency's approved Title XIX State plan to revise the payment methodology for all hospitals for outpatient services to comply more closely with Medicare OPPS 2011 payment provisions.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NY-08-27
State: New York
Summary: Concerns Rates Of Payment For Personal Care Service Agencies.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NY-09-50
State: New York
Summary: Nursing Home $210 Million Rebase Payment (FMAP = 58.78% as of effective date).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MN-10-23
State: Minnesota
Summary: Adds two hospitals to the non-state goverment owned group of hospitals for the purpose of making a supplemental payment.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT