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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 3811 to 3820 of 3886 results
Transmittal Number: UT-09-007
State: Utah
Summary: Retroactive Period Effective Date.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: MD-09-06 M
State: Maryland
Summary: This SPA adds targeted case management services for individuals with serious mental illness and minors with serious emotional disorders.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: VI-09-02E
State: Virgin Islands
Summary: Incorporates a certified public expenditure methodology into the reimbursement for outpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: KS-09-03
State: Kansas
Summary: Methods and standards for establishing nursing facility payment rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: VI-09-02D
State: Virgin Islands
Summary: Incorporates a certified public expenditure methodology into the reimbursement for inpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: SC-09-009
State: South Carolina
Summary: To correct excluded drug coverage and clarifies our policy regarding the elimination of coverage of antitussive/expectorant and cough/cold medications for primary Medicaid and Dual eligible beneficiaries.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: NC-09-021
State: North Carolina
Summary: This State plan change is to adjust SFY 2010 and SFY 2011 rates for extended services for pregnant women based on an overall program reduction of 9.76% for SFY 2010. SFY 2011 rates are frozen at the SFY 2010 amount.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: TX-09-037
State: Texas
Summary: Provides assurance of the State's compliance with Section 6035 of the Deficit Reduction Act.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: AL-09-008
State: Alabama
Summary: Implements the Telemedicine program in order to improve access to health care for Medicaid eligible recipients residing in medically underserved areas of Alabama.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
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Transmittal Number: IA-09-008
State: Iowa
Summary: Identifies inflation methodology for nursing facility rate setting effective July 1, 2009.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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