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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 1451 to 1460 of 2096 results
Transmittal Number: CO-22-0023
State: Colorado
Summary: As mandated by the American Rescue Plan (ARP), the state submitted ARP template 7.7-C for coverage of COVID-19 Treatment and Prevention.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: HI-22-0007
State: Hawaii
Summary: This SPA attests to the state's coverage of COVID-19 vaccines and vaccine administration, COVID-19 testing, and COVID-19 treatment, as required by sections 1905(a)(4)(E) and 1905(a)(4)(F) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AZ-23-0004
State: Arizona
Summary: This amendment, effective February 2, 2023, updates the Arizona disproportionate share hospital (DSH) state plan language on Medicaid shortfall to reflect statutory changes made by Section 203 of the Consolidation Appropriations Act of 2021 to Section 1923(g) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NY-22-0035
State: New York
Summary: This plan revises the methodology for distributing Clinic Safety Net

(CSN) payments for non-FQHCs.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NY-22-0034
State: New York
Summary: This State Plan Amendment extends disproportionate share hospital (DSH) payments to county hospitals and hospitals operated by the State of New York or the State University of New York (SUNY) for the periods April 1, 2022, through March 31, 2025.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MP-23-0001
State: Northern Mariana Islands
Summary: Effective October 1, 2022, this amendment

adds reimbursement methodology to Attachment 4.19-A of the state plan for off-island inpatient

hospital services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MP-23-0002
State: Northern Mariana Islands
Summary: Effective October 1, 2022, this amendment adds reimbursement methodology to Attachment 4.19-D of the state plan for off-island nursing facility services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CA-22-0070
State: California
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to extend the COVID-19 Emergency Sick Leave Benefits for In Home Supportive Services (IHSS) providers through December 31, 2022.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: WA-22-0033
State: Washington
Summary: This SPA updated the fee schedule effective dates for several Medicaid programs and services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MA-22-0032
State: Massachusetts
Summary: This plan amendment revises the payment rates for rehabilitative services provided in a day setting.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT