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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 3531 to 3540 of 3688 results
Transmittal Number: IL-08-04
State: Illinois
Summary: Methods and standards for establishing inpatient rates for hospital reimbursement - Outlier Payments.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: IN-10-006
State: Indiana
Summary: Makes conforming changes to the State Plan to comport with federal requirements (42 CFR Part 483) implementing version 3.0 of the Minimum Data Set (MDS).
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Topics:
  • Program Administration
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Transmittal Number: UT-10-013
State: Utah
Summary: Quality Improvement Incentive Program For State Fiscal Year 2011 for Nursing Facilities and intermediate Care Facilities for the Mentally Retarded.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: NY-09-12A
State: New York
Summary: AIDS Occupancy Factor (FMAP = 61.59% as of effective date).
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Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NV-10-006
State: Nevada
Summary: Removes language that incorrectly designates the Non-Emergency Transportation (NET) Broker as a Prepaid Ambulatory Health Plan (PAHP).
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  • Program Administration
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Transmittal Number: DE-10-001
State: Delaware
Summary: Modifies citizenship documentation requirements to comply with the Deficit Reduction Act of 2005 and clarifies continuous Medicaid coverage for newborns.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
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Transmittal Number: AZ-10-006
State: Arizona
Summary: Eliminates certain optional services and imposes limitations on other optional services for adults age 21 and older Specifically, this SPA eliminates podiatrists services preventive dental services and well and physical exams. This SPA also limits prosthetics coverage and organ transplantation Dental services also are limited to treatments of oral disease prior to transplantation and to extractions prior to treatment of certain cancers.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Dental
  • Eligibility
  • Health Services Initiatives
  • Program Administration
Links:
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Transmittal Number: AZ-10-005
State: Arizona
Summary: Increases the resource limits for the Qualified Medicare Beneficiary, Specified Low Income.
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Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: MN-10-007
State: Minnesota
Summary: State Plan Amendment Review Authority Update.
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Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OK-10-10
State: Oklahoma
Summary: Makes changes to the Disproportionate Share Hospital state plan language to conform to guidance related to Federal DSH audit rules.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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