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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 15281 to 15290 of 15669 results
Transmittal Number: VI-09-02D
State: Virgin Islands
Summary: Incorporates a certified public expenditure methodology into the reimbursement for inpatient hospital services.
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Effective Date:
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  • 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.
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  • Program Administration
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Transmittal Number: NC-09-023
State: North Carolina
Summary: This amendment adjusts State Fiscal Year (SF) 2010 rates for Local Education Agencies based on an overall program reduction of 9.00% for SFY 2010. SFY 2011 rates are to be frozen at the SFY 2010 amount.
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Topics:
  • Financing & Reimbursement
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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.
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Topics:
  • Program Administration
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Transmittal Number: OR-09-16
State: Oregon
Summary: Reduces denture benefits for non-pregnant adults age 21 and older to once in a lifetime for those individuals who are recently edentulous.
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Topics:
  • Dental
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Transmittal Number: OH-09-008
State: Ohio
Summary: This state plan amendment accommodates Ohios interim budget for ICF-MR payment rates. For services provided after June 30, 2009, ICFs-MR shall continue to be paid the ICF-MRs rate for June 30, 2009. The department requests this amendment and the provisions contained therein be adopted under Ohios state plan effective July 1, 2009.
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Transmittal Number: WA-09-029
State: Washington
Summary: Implements changes in deemed eligiblity of children born to mothers covered by Medicaid for the date of the child's birth for a period of one year from birth.
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Topics:
  • Eligibility
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Transmittal Number: OR-09-10
State: Oregon
Summary: Provides Medicaid and Children's Health Insurance Program (CHIP) coverage for children under age 19.
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  • Benefits
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Transmittal Number: ND-09-019
State: North Dakota
Summary: Amends the State Plan to change the Estimated Acquisition Cost calculation as a result of the First DataBank lawsuit.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: ND-09-025
State: North Dakota
Summary: Managed Care section is being brought into compliance with the new template and will allow Nurse Practitioners to enroll as Primary Care Providers.
Approval Date:
Effective Date:
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