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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 121 to 130 of 769 results
Transmittal Number: ND-23-0019
State: North Dakota
Summary: Amends the State Plan to implement an increase of three percent for EPSDT Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ND-23-0022
State: North Dakota
Summary: This state plan amendment implements a 3% inflationary increase for North Dakota Medicaid Providers providing 1915i services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ND-23-0018
State: North Dakota
Summary: This state plan amendment implements a 3% inflationary increase for Targeted Case Management Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ND-23-0016
State: North Dakota
Summary: This state plan amendment implements a 3% inflationary increase for Rural Health Clinic Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ND-23-0020
State: North Dakota
Summary: Amends the State Plan to implement an increase of three percent for services rendered by Medicaid Providers
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MA-23-0031
State: Massachusetts
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to extend availability of hospital presumptive eligibility (HPE) to non-MAGI individuals.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
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Transmittal Number: ND-23-0015
State: North Dakota
Summary: This state plan amendment implements a 3.5% inflationary increase for Personal Care Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MA-23-0027
State: Massachusetts
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 update payment methodology for home health and home and community based services.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
  • Home and community based services
Links:
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Transmittal Number: MA-23-0028
State: Massachusetts
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 update payment methodology for nursing facilities.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
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Transmittal Number: MA-23-0029
State: Massachusetts
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to extend payment methodologies included in 23-0027 for Adult Foster Care and Continuous Skilled Nursing through 6/30/23.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT