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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 101 to 110 of 1175 results
Transmittal Number: NV-24-0007
State: Nevada
Summary: This SPA is to provide 12-months of continuous eligibility for children under age 19.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PA-24-0005
State: Pennsylvania
Summary: Provides 12 months of continuous Medicaid eligibility for children under age 19.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DC-24-0006
State: District of Columbia
Summary: Provide a twelve (12) month continuous eligibility period to children under age nineteen, who no longer meet eligibility requirements. This SPA will align the District's eligibility and operational practices with new federal requirements set forth under the Consolidated Appropriations Act of 2023.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MO-24-0001
State: Missouri
Summary: This amendment is to provide 12 months of continuous eligibility for children under age 19 per section 5112 of the Consolidated Appropriations Act 2023.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-24-0003
State: Kansas
Summary: This amendment streamlines the process of integrating the state's compliance with continuous eligibility (CE) authority into the Medicaid and Chip Program (MACPro) Portal.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OH-23-0046
State: Ohio
Summary: The purpose of this SPA is to implement administrative changes to prepare for PACE expansion.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Reimbursement
Links:
    SHARE THIS MEDICAID STATE PLAN AMENDMENT
    Transmittal Number: UT-23-0017
    State: Utah
    Summary: This SPA provides Utah with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
    Approval Date:
    Effective Date:
    Topics:
    • Benefits
    • Eligibility
    • Medicaid and CHIP Program (MACPro)
    Links:
    SHARE THIS MEDICAID STATE PLAN AMENDMENT
    Transmittal Number: SC-23-0019
    State: South Carolina
    Summary: This amendment proposes to align the limitations on non-covered medical expenses with the current Medicaid coverage and benefits.
    Approval Date:
    Effective Date:
    Topics:
    • Coverage
    • Benefits
    • Eligibility
    Links:
    SHARE THIS MEDICAID STATE PLAN AMENDMENT
    Transmittal Number: NJ-23-0025
    State: New Jersey
    Summary: To disregard refunds issued by the state to individuals who incurred Medicare-related premiums, deductibles, and co-payments as a result of not having been enrolled in the appropriate Medicare Savings Program eligibility group.
    Approval Date:
    Effective Date:
    Topics:
    • Eligibility
    Links:
    SHARE THIS MEDICAID STATE PLAN AMENDMENT
    Transmittal Number: MO-24-0004
    State: Missouri
    Summary: This SPA corrects a typographical error that was made in MO SPA 23-0030, relating to the resource standard for a couple in the Ticket to Work Basic and Medical Improvements eligibility groups.
    Approval Date:
    Effective Date:
    Topics:
    • Eligibility
    • Medicaid and CHIP Program (MACPro)
    Links:
    SHARE THIS MEDICAID STATE PLAN AMENDMENT