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 91 to 100 of 223 results
Transmittal Number: AS-17-002
State: American Samoa
Summary: Increases the encounter rate for FQHCs.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ID-17-0010
State: Idaho
Summary: This SPA establishes an alternative payment methodology (APM) for medical resident physicians at a federally qualified health center (FQHC).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ID-17-0014
State: Idaho
Summary: This transmittal aligns the Idaho state plan in accordance with the Covered Outpatient Drug final rule, specifically the reimbursement of Physician Administered Drugs, and 340B contract drugs.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IA-17-0010
State: Idaho
Summary: This SPA eliminates tiered benefits in the Dental Wellness Plan.
Approval Date:
Effective Date:
Topics:
  • Dental
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ID-17-0012
State: Idaho
Summary: This SPA shortens the initial cost reporting period for new Behavioral Care Units (BCUs) from one-year to 60 days minimum.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ID-17-0008
State: Idaho
Summary: This SPA amends Idaho's Basic Alternative Benefit Plan (Basic ABP) to align the Basic ABP's benefit plans with the changes that have been made to the Base Benchmark plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ID-17-0001
State: Idaho
Summary: This SPA amends Idaho's Medicare-Medicaid Coordinated Alternative Benefit Plan (MMCP) to align the MMCP's benefit plans with changes made to the Base Benchmark plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ID-17-0009
State: Idaho
Summary: This SPA amends Idaho's Enhanced Alternative Benefit Plan (Enhanced ABP) to align the Enhanced ABP's benefit plans with the changes that have been made to the Base Benchmark plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AS-12-007
State: American Samoa
Summary: Allows for the coverage of lawfully residing pregnant women and children under Section 214 of CHIPRA.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AS-17-001
State: American Samoa
Summary: This amendment proposes coverage and reimbursement of emergency and certain other medical services furnished by off-island and out-of-country providers, effective April 1, 2017.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT