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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 71 to 80 of 276 results
Transmittal Number: LA-20-0013
State: Louisiana
Summary: This state plan amendment is to amend the provisions governing hospice services provided concurrently with life-prolonging treatments to individuals under age 21 in order to update existing terminology and reflect current practices, and to comply with federal requirements which allow for pediatric concurrent care
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: MN-20-0019
State: Minnesota
Summary: Amends 1915(i) state plan HCBS benefit
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Benefits
Links:
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Transmittal Number: PR-20-0011
State: Puerto Rico
Summary: Temporarily modifies the Puerto Rico Local Poverty Level.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: PR-20-0013
State: Puerto Rico
Summary: Eliminates changes made by PR SPA 20-0011 and documents that the Puerto Rico Local Poverty Level will return to the levels in effect prior to SPA 20-0011
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: CA-20-0011
State: California
Summary: authorizes augmentation payments to emergency air medical transportation services for state fiscal year
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Current State Plan
Links:
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Transmittal Number: SD-20-0007
State: South Dakota
Summary: implements inflationary rate increases appropriated by the state during the 2020 legislative session
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: CA-20-0045
State: California
Summary: Increase the Blind Federal Poverty Level (FPL) and the Aged and Disabled FPL program income limits by increasing the income disregard to all countable income above the Supplemental Security Income/State Supplementary Payment (SSI/SSP) standard 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: AK-20-0006
State: Alaska
Summary: Proposes to add chore services to the 1915(k) Community First Choice (CFC) state plan benefit
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: VT-20-0017
State: Vermont
Summary: This SPA permits licensed pharmacists to enroll in the Vermont Medicaid program, allowing coverage of COVID-19 diagnostic testing and specimen collection by licensed pharmacists to the extent permitted by state and federal law.
Approval Date:
Effective Date:
Topics:
  • Medicaid-Medicare Issues
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: NJ-20-0007
State: New Jersey
Summary: Authorizes $67,250,000 in Charity Care Subsidy payment under New Jersey’ s DSH program for the first three months of the 2021 DSH state plan rate year (SPRY) which runs con-currently with the state fiscal year (July 1, 2020 to June 30, 2021
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT