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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 521 to 530 of 3688 results
Transmittal Number: VA-20-0008
State: Virginia
Summary: The purpose of this SPA is to update the ARTS state plan pages to incorporate general updates to the program, including updates related to medication assisted treatment, defining the scope of practice for certified substance abuse counselors, including substance use disorder counseling within that scope, and guidance related to telemedicine requirements.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: NV-20-0011
State: Nevada
Summary: Transfer to new SPA template and add language for approved carve out of CCBHC and Zolgensma.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ID-20-0016
State: Idaho
Summary: Adds coverage of Targeted Case Management for At Risk Children to the Enhanced Plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ID-20-0015
State: Idaho
Summary: Adds coverage of Targeted Case Management for At Risk Children to the Basic Plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Benefits
  • Eligibility
Links:
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Transmittal Number: CA-19-0041
State: California
Summary: authorizes a time-limited payment to developmental screenings for children up to 30 months of age when rendered in Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and Indian Services Memorandum of Agreement 638 (HIS-MOA) clinics using Proposition 56 funds
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: FL-20-0003
State: Florida
Summary: Hospital Methodology
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NE-20-0002
State: Nebraska
Summary: Opioid Treatment Program
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NE-20-0003
State: Nebraska
Summary: adds the Medically Monitored Withdrawal service including initial assessment, substance use disorder assessment, medication administration, and individual, group, and family counseling services. The provider qualification descriptions have also been added.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: IL-20-0008
State: Illinois
Summary: change to the long-term care regional wage adjustor.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: PA-20-0013
State: Pennsylvania
Summary: This amendment establishes the annual aggregate limit and continues funding for supplemental, disproportionate share, and direct medical education payments. 
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT