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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 111 to 120 of 576 results
Transmittal Number: NV-24-0011
State: Nevada
Summary: This amendment is the addition of a licensed behavior analysts, licensed assistant behavior analysts and registered behavior technicians within their scope of practice according to state law.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-24-0001
State: Vermont
Summary: This amendment proposes to add coverage of residential eating disorder treatment.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Preventative Services
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NH-24-0006
State: New Hampshire
Summary: This amendment proposed to disregard the spousal resources of certain institutionalized individuals and certain individuals eligible for home and community-based services.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
  • Home and community based services
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WA-24-0007
State: Washington
Summary: This amendment will add Community Health Aide Providers (CHAPs) to the other licensed practitioner's benefit in the state plan.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: UT-24-0002
State: Utah
Summary: This SPA proposes to clarify the reimbursement for certain provider administered drugs.
Approval Date:
Effective Date:
Topics:
  • Covered Outpatient Drug
  • Physician Administered Drugs
  • Prescribed Drugs
  • Prescription Drugs
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WA-24-0038
State: Washington
Summary: This amendment will remove a typographical error in Attachment 3.1-B page 21a.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
Links:
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Transmittal Number: AS-24-0001
State: American Samoa
Summary: This amendment is to temporarily suspend otherwise covered benefits for the period January 1, 2024 through September 30, 2024 in response to the territory’s local funding shortfall.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WI-24-0006
State: Wisconsin
Summary: This amendment removes the restriction of delivering personal care services in the home and allows services to be delivered elsewhere in the community (non-institutional settings).
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ME-24-0010
State: Maine
Summary: This amendment proposed income disregards for the Qualified Medicare Beneficiary (QMB) and Qualifying Individual (QI) eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
  • Medicaid-Medicare Issues
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-24-0001
State: Mississippi
Summary: This amendment proposes allowing the Division of Medicaid to remove references to Medicare regulations and in-home services, unfreeze reimbursement rates, and make other edits required by CMS to End-Stage Renal Disease (ESRD) Services.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT