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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 291 to 300 of 3691 results
Transmittal Number: MA-21-0015
State: Massachusetts
Summary: The state submitted this SPA to update the CarePlus Alternative Benefit Plan (ABP) to confum coverage of Medication Assisted Treatment (MAT) services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: ME-21-0003
State: Maine
Summary: This amendment proposes to add medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan. 
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: MA-21-0013
State: Massachusetts
Summary: Add medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
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Transmittal Number: TX-21-0041
State: Texas
Summary: Updates the physicians' and other practitioners' fee schedules.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: CO-21-0017
State: Colorado
Summary: Updates the outpatient pharmacy rate methodology for blood clotting factor drugs by incorporating Average Acquisition Cost (AAC) and Clotting Factor Maximum Allowable Cost (CFMAC) rates, along with a $0.03/unit enhanced professional dispensing fee.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
Links:
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Transmittal Number: NV-21-0007
State: Nevada
Summary: Continues the authority for the Indigent Accident Fund program, a supplemental payment program based on inpatient hospital utilization to preserve access to inpatient hospital services, through state fiscal year 2022.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: AZ-21-0008
State: Arizona
Summary: Administers changes to transportation services to permit emergency transportation to alternative facilities.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: NC-21-0018
State: North Carolina
Summary: Updates Program of All-Inclusive Care for the Elderly (PACE) Services
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: TX-21-0011
State: Texas
Summary: Expands the community based provider agency options for Medicaid recipients who have been found through the PASRR process to need specialized add-on services. Additionally, amendments were made to behavioral support and day habilitation services descriptions to be consistent with state administrative rule language and updates language about settling locations.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: MS-21-0046
State: Mississippi
Summary: Update the Managed Care Procurement Methods available to the Mississippi Division of Medicaid for procurement of Managed Care organizations.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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