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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 231 to 240 of 3691 results
Transmittal Number: NY-19-0034
State: New York
Summary: Updates the reimbursement methodology for Consumer Directed Personal Assistance Program (CDPAP).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: NC-21-0009
State: North Carolina
Summary: Amends CCNC Primary Care Case Management Program in light of the launch of the statewide MCO program on July 1, 2021.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: SC-21-0016
State: South Carolina
Summary: Brings the State Plan into compliance with the Transportation requirements under the Consolidated Appropriations Act of 2021 .
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: WA-22-0002
State: Washington
Summary: Adds information regarding nurse midwife services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OH-21-0034
State: Ohio
Summary: Clarifies that providers must wait 100 days after billing a non-responsive child enforcement-related third party in order to be eligible for Medicaid reimbursement.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OR-21-0023
State: Oregon
Summary: Makes assurances for provisions added by the Consolidated Appropriations Act, 2021, Division CC, Title II, Section 209, concerning Medicaid coverage of certain medical transportation (section 209).
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NM-21-0012
State: New Mexico
Summary: Implement updates to third party liability in order to comply with changes required

in the Bipartisan Budget Act (BBA) of 2018 and the Medicaid Services Investment and Accountability Act (MSIAA) of 2019.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: DC-21-0019
State: District of Columbia
Summary: Permits the District of Columbia to comply with the third-party liability requirements authorized under the Bipartisan Budget Act (BBA) of 2018 (Pub. L. 115- 123) and the Medicaid Services Investment and Accountability Act (MSIAA) of 2019 (Pub. L. 116-16), affecting the BBA of 2013.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: HI-21-0017
State: Hawaii
Summary: Attests to the state’s compliance with the third party liability requirements outlined in sections 1902(a)(25)(E) and 1902(a)(25)(F)(i) of the Social Security Act. Allows for payment up to 100 days instead of 90 days for claims related to medical support enforcement.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CA-21-0067
State: California
Summary: Adds a new Recovery Audit Contractor (RAC) effective February 1, 2022, which is the same date as when the state’s previously-approved RAC exception expires.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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