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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 256 results
Transmittal Number: ID-20-0013
State: Idaho
Summary: Removes the state’s 1915(l) option from the state plan, as Idaho is transitioning coverage of substance use disorder (SUD) treatment in institutions of mental disease from the state plan to the state’s SUD section 1115(a) demonstration, known as Idaho Behavioral Health Transformation
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: TX-20-0006
State: Texas
Summary: Updates the clinical laboratory services page of the State Plan as a result of the 2020 calendar year fee review of clinical diagnostic laboratory services
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: ID-20-0001
State: Idaho
Summary: The purpose of this SPA is to update the State Plan to reflect the 2020 income and resource limits for the State of Idaho
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: NH-20-0001
State: New Hampshire
Summary: Increases the optional state supplemental income standards in accordance with § 1618 and 1902(a)(10)(A)(ii)(XI) of the Social Security Act
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
Links:
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Transmittal Number: MD-20-0002
State: Maryland
Summary: Makes a technical change previously announced in SPA ID MD-18-0005 to reflect integration into the streamlined application and update the reviewable units for Family Planning to apply the MAGI household rules and income rules to Family Planning Applicants
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: ID-20-0005
State: Idaho
Summary: Amends State Plan Attachment 3.1-F to add the Adult Group to the list of eligibility group that are included and enrolled into the

state’s Healthy Connections program.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Current State Plan
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Transmittal Number: NY-20-0011
State: New York
Summary: Updates and extends the Ambulatory Patient Group (APG) methodology for hospital based clinics and ambulatory surgery services for the effective period January 1, 2020 thru December 31, 2020 and revise the APG methodology to reflect the recalculated weights with component updates
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: ID-19-0008
State: Idaho
Summary: Amends State Plan Attachment 3.1-F to implement a fixed enrollment process for beneficiaries that are enrolled into

the state’s Healthy Connections program
Approval Date:
Effective Date:
Topics:
  • Current State Plan
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Transmittal Number: LA-20-0003
State: Louisiana
Summary: Amends the provisions governing the definition of a public, non-rural community hospital, to include Thibodaux Regional Medical Center, formerly owned by a parish, city or other local government or instrumentality, after January 1, 2019.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: UT-20-0004
State: Utah
Summary: Updated the utilization trend for the outpatient hospital Upper Payment Limit (UPL) in state fiscal year (SFY) 2021
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Current State Plan
Links:
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