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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 228 results
Transmittal Number: GU-20-0001
State: Guam
Summary: To establish a revised Local Poverty Level (LPL) income standard used for determining MAGI-based Medicaid eligibility
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: RI-20-0001
State: Rhode Island
Summary: Increases the allowable Home Equity amount for long term care beneficiaries.
Approval Date:
Effective Date:
Topics:
  • Long-Term Services & Support
  • Benefits
Links:
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Transmittal Number: RI-20-0004
State: Rhode Island
Summary: Update the Medically Needy Income Levels and to also update the standards for the Optional State Supplement Beneficiaries eligibility group
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: GU-20-0002
State: Guam
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to Increase payment rates for Inpatient and Outpatient Hospital Services, Physician Services, Home Health Services, Clinic Services for Physicians Services and Other Practitioner’s Services during the Public Health Emergency Period.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
Links:
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Transmittal Number: RI-20-0006
State: Rhode Island
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purposes of this amendment is to increase nursing facility rates by 10%, effective April 1, 2020 through June 30, 2020.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
Links:
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Transmittal Number: RI-20-0003
State: Rhode Island
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purposes of this amendment is to expand eligibility to cover COVID-19 testing for uninsured individuals, make other eligibility and enrollment changes, suspend premiums for the Employed Individuals with Disabilities program eligibility group, automatically renew prior authorization for medications, and adjust post eligibility treatment of income
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
  • Premiums
  • Prescription Drugs
Links:
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Transmittal Number: RI-19-0015
State: Rhode Island
Summary: Proposes to allow the state to comply with the Medicaid Drug Utilization Review (DUR) provisions included in Section 1004 of the Substance Use-Disorder Prevention that promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: RI-19-0013
State: Rhode Island
Summary: Proposes to reinsert covered outpatient drug reimbursement language that was inadvertently deleted in a prior amendment.

 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: RI-19-0008
State: Rhode Island
Summary: Revises reimbursement for nursing facility services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: RI-19-009
State: Rhode Island
Summary: Updates Hospice Rates in a Skilled Nursing Facility.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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