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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 461 to 470 of 557 results
Transmittal Number: MD-12-02
State: Maryland
Summary: Reflects current practices for medical supply and clinic services.
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Transmittal Number: MD-12-08
State: Maryland
Summary: Modifies the methods and standards for making Medical Assistance payments to nursing facilities. Increases Nursing Facilities reimbursement by eliminating the net reduction factor applied to select cost centers used in developing rates along with other modifies including establishing a new geographic rate location for Baltimore City facilities and replacing communicable disease care in the heavy duty Specialty level of care with intensive tracheotomy care.
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  • Financing & Reimbursement
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Transmittal Number: IL-12-021
State: Illinois
Summary: Eliminates payments for bed reserves for individuals residing in a nursing facility with the exception of persons wbo are under 21 years of age receiving hospitalization and therapeutic visits in an Intermediate Care Facility for the Developmentally Disabled (ICF/DD).
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Transmittal Number: IL-12-017
State: Illinois
Summary: Recovery Audit Contractors for Medicaid - Request for Delay of Implementation and a Change to the Look-back Period.
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Transmittal Number: IL-10-10
State: Illinois
Summary: LTAC Hospital Supplemental Per Diem.
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Transmittal Number: IL-12-008
State: Illinois
Summary: Elimination of Eligibility for Parents and Caretaker Relatives from 133 Percent to 185 Percent of the Federal Poverty Level.
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  • Benefits
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Transmittal Number: IL-12-013
State: Illinois
Summary: Request to review the definition of Mental Health Professional.
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Transmittal Number: IL-12-012
State: Illinois
Summary: State-operated psychiatric hospital definition for DSH payment purposes.
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  • Financing & Reimbursement
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Transmittal Number: MD-11-14B
State: Maryland
Summary: SPA updates State Plan language related to coverage and reimbursement.
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  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: MD-12-06
State: Maryland
Summary: This SPA provides for an increase in the resource limit for married couples to $15,000 for the Employed Individuals with Disabilities Program.
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