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 111 to 120 of 335 results
Transmittal Number: ND-20-0030
State: North Dakota
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 allow the state to waive the 24 day limit for payment for a reserved day for therapeutic leave of absences for a resident of a nursing facility.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-20-0017
State: North Dakota
Summary: Implements an increase to the professional fee schedule for vaccine administration under the Pediatric Immunization program.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-20-0007
State: North Dakota
Summary: remove the restriction on providers who can enroll to render Targeted Case Management (TCM) for individuals with a Serious Mental Illness (SMI) or Serious

Emotional Disturbance (SED).
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-20-0019
State: North Dakota
Summary: Provides a yearly inflationary increase for EPSDT services reimbursement rates as of July 1, 2020
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-20-0023
State: North Dakota
Summary: Update the criteria for Targeted Case Management for Pregnant Women and Infants and updates the provider qualifications.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-20-0015
State: North Dakota
Summary: Provides a yearly inflationary increase for personal care services reimbursement rates as of July 1, 2020.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-20-0016
State: North Dakota
Summary: Provides a yearly inflationary increase for rural health clinic reimbursement rates as of July 1, 2020.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-20-0018
State: North Dakota
Summary: This plan amendment provides a yearly inflationary increase for targeted case management reimbursement rates as of July 1, 2020
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-20-0020
State: North Dakota
Summary: Provides a yearly inflationary increase for multiple services: outpatient hospital, clinic, laboratory, durable medical equipment, optometric, chiropractic, dental, diagnostic/screening/preventative, and ambulatory surgical centers reimbursement rates as of July 1, 2020
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-20-0003
State: North Dakota
Summary: Amends the State Plan to increase the eligibility income level for pregnant women to 157% of the Federal Poverty Level.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT