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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 471 to 480 of 566 results
Transmittal Number: OR-12-12
State: Oregon
Summary: This SPA was submitted to reflect specified provider rate reductions to comply with budget limitations. An analysis was performed on this SPA in reference to access of care, and was determined satisfactory.
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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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  • Financing & Reimbursement
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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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  • Program Administration
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Transmittal Number: IL-10-10
State: Illinois
Summary: LTAC Hospital Supplemental Per Diem.
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  • Financing & Reimbursement
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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: OR-12-010
State: Oregon
Summary: This SPA was submitted to reflect a change to the date for the published fee schedule for Targeted Case Management for (TCM) Medicaid High Risk Infants and Children.
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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: OR-12-009
State: Oregon
Summary: This SPA was submitted to reflect an increase to some Durable Medical Equipment rates due to a legislative budget adjustment in SB 5701-A.
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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: OR-12-007
State: Oregon
Summary: This SPA adds Non-Traditional Healthcare Workers under the supervision of a licensed health care professional to the Medicaid State plan.
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