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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: NY-09-005
State: New York
Summary: 2009 Service Intensity Weights (SIWs).
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WI-10-001
State: Wisconsin
Summary: Targeted case management for postpartum women and their infants.
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: IA-10-015
State: Iowa
Summary: Removes the annual limit on the number of persons served and removing all references to payment slots and waiting lists for the 1915(i) State Plan HCBS program, on or after October 1, 2010 as required by the Affordable Care Act.
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Effective Date:
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Transmittal Number: KS-10-14
State: Kansas
Summary: Inpatient Hospital.
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: MD-10-11
State: Maryland
Summary: This SPA defines the States coinsurance payment for Part B claims for all dual Medicare and full Medicaid covered individuals and Qualified Medicare Beneficiary-only individuals.
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Effective Date:
Topics:
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Transmittal Number: ND-10-008
State: North Dakota
Summary: Update Medicaid Estate Recoveries to conform to MIPPA Section 115 and ARRA Section 5006(c).
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Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: IL-09-01
State: Illinois
Summary: Supplemental payments to universities for practitioner services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: IA-10-011
State: Iowa
Summary: This SPA is being submitted because of changes to the LTC Partnership Program as directed by the DRA of 2005 and clarification from CMS. Determined that the placement for the asset exemption from estate recovery is on page 53b and removed from Sup. 8b to Attachment 2.6-A.
Approval Date:
Effective Date:
Topics:
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Transmittal Number: ME-10-006
State: Maine
Summary: Revises the Maine multi-state supplemental rebate agreement.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Prescription Drugs
  • Program Administration
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Transmittal Number: OR-10-20
State: Oregon
Summary: Technical correction to reflect the current payment method for health services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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