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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 91 to 100 of 3701 results
Transmittal Number: NC-23-0038
State: North Carolina
Summary: This amendment adds a tribal consultation process for Indian Health Services Facilities and Urban Indian Organizations.
Approval Date:
Effective Date:
Topics:
  • Indian Health Services
  • Tribal/Indian Health Issues
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MO-23-0033
State: Missouri
Summary: Annual assurance of the pharmacy program's adherence to the FULs requirement of federal regulation regarding expenditures for multiple source drugs.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Prescribed Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NM-23-0015
State: New Mexico
Summary: This amendment is to discontinue the Recovery Audit Contractor (RAC) program. These changes are being made due to the State having a high managed care population at 83% compared to 17% Fee for Services; therefore, the state does not project any large recoveries in the future for the RAC program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SC-23-0006
State: South Carolina
Summary: This amendment proposes to remove the limits previously applied to the Ambulatory Care annual visits. 
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0015
State: Vermont
Summary: This amendment proposes to assure coverage of adult vaccines per the Inflation Reduction Act and coverage of preventive services.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Vaccine
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VA-23-0014
State: Virginia
Summary: This amendment provides reimbursement for services provided by licensed pharmacists, and pharmacy interns and pharmacy technicians supervised by phamacists, who are acting within their scope of practice or in a collaborative agreement with a provider licensed in Virginia or are specified in Board of Pharmacy protocols for licensure that have been reviewed and accepted by the Department of Medical Assistance Services and are services covered by Medicaid.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
  • Reimbursement
  • Vaccine
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-23-0015
State: Utah
Summary: This amendment is an exception to the Recovery Audit Contractor (RAC) program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AZ-23-0009
State: Arizona
Summary: This amendment is to update the description of the state agency roles in determining eligibility and conducting hearings.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: TN-23-0004
State: Tennessee
Summary: This amendment is to update the state plan to reflect the current Preadmission Screening and Annual Resident Review process.
Approval Date:
Effective Date:
Topics:
  • Inpatient
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-23-0004
State: Alabama
Summary: This amendment is to update the requirements and qualifications needed to be a rehabilitative services provider.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
  • Preventative Services
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT