U.S. flag

An official website of the United States government

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.

Search the Text of Medicaid State Plan Amendments
Filter by Approval Date
Filter by Effective Date
Showing 51 to 60 of 310 results
Transmittal Number: DE-22-0011
State: Delaware
Summary: This SPA provides Delaware with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SD-23-0007
State: South Dakota
Summary: The state adopt the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, Pub. L. No. 115-217, section 1002.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SD-22-0014
State: South Dakota
Summary: The SPA clarifies how the premium assistance program determines if premium assistance is estimated to be cost effective and aligns with policies and current practice.
Approval Date:
Effective Date:
Topics:
  • Third Party Liability
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DE-22-0019
State: Delaware
Summary: Updates Delaware State Plan regarding telemedicine, specifically, to sunset telemedicine Attachment 3.1-A introductory pages 1-2 and to modify language in Attachment 4.19-B Page 24.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DE-22-0015
State: Delaware
Summary: This amendment requests for an exception from the Medicaid Recovery Audit Contractor (RAC) requirements.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DE-23-0001
State: Delaware
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 waive signature requirements for dispensing of drugs during the COVID-19 Public Health Emergency.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Prescribed Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DE-22-0007
State: Delaware
Summary: The purpose of this SPA is to come into compliance with Treatment requirements of Section 9811 of the American Rescue Plan.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DE-22-0008
State: Delaware
Summary: The purpose of this SPA is to come into compliance with Vaccine requirements of Section 9811 of the American Rescue Plan.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DE-22-0009
State: Delaware
Summary: The purpose of this SPA is to come into compliance with testing requirements of Section 9811 of the American Rescue Plan.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SD-22-0015
State: South Dakota
Summary: This SPA seeks an exception to the Medicaid Recovery Audit Contractor (RAC) program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT