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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 61 to 70 of 595 results
Transmittal Number: ND-23-0013
State: North Dakota
Summary: This SPA, removes the Medication Therapy Management (MTM) specific section to avoid duplicated language within this section.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: ND-23-0023
State: North Dakota
Summary: Amends the State Plan to update the supplement payment for Critical Access Hospitals.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ND-23-0014
State: North Dakota
Summary: Amends the State Plan to implement an increase of three percent for certain Inpatient Hospital Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ND-23-0021
State: North Dakota
Summary: Amends the State Plan to implement an inflationary increase of two percent and wage increase for ICF Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ND-23-0011
State: North Dakota
Summary: This amendment amends the State Plan to update provider qualifications for Targeted Case Management (TCM) for individuals with Serious Mental Illness (SMI) or Serious Emotional Disturbance (SED).
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
  • Coverage
Links:
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Transmittal Number: MD-23-0010
State: Maryland
Summary: Expands the eligibility rules for its working disability group and modified the premium requirements for the group.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: MD-23-0013
State: Maryland
Summary: The Department is amending the State Plan to include language to clarify the specific Medicare rate used to set the Maryland rate for Medicare-covered Durable Medical Equipment (DME) and Durable Medical Supplies (DMS).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MD-23-0015
State: Maryland
Summary: Modifies the language that describes the rate categories for the Program of All-Inclusive Care for the Elderly (PACE) by removing the QMB rates in the rate-setting methodology. This change does not fundamentally change the formula for rate calculation.
Approval Date:
Effective Date:
Topics:
  • Quality of Care
  • Benefits
Links:
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Transmittal Number: MD-23-0011
State: Maryland
Summary: Proposes to implement a 4% rate increase for Nursing Facilities Program.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ND-23-0012
State: North Dakota
Summary: This amendment amends the State Plan to increase the personal needs allowance.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT