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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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Transmittal Number: CO-11-051
State: Colorado
Summary: This SPA implements a simplified process for clients to apply for Medicaid using express lane eligibility.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: CO-12-005
State: Colorado
Summary: Add TWWIIA Basic Coverage Group as a new eligibility category
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: PA-09-020
State: Pennsylvania
Summary: Extends Medicaid coverage to lawfully residing children under the age of21 and pregnant women who are otherwise eligible for Medicaid.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: NE-11-32 M
State: Nebraska
Summary: Provides for Medicaid coverage of comprehensive tobacco cessation services for pregnant women, including both counseling and pharmacotherapy, without cost sharing.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: OH-10-011
State: Ohio
Summary: Targeted Case Management services provided to Medicaid-eligible expectant first time parents, first time parents, infants, and toddlers under the age of three years who are enrolled and participating in Ohios Help Me Grow Home Visiting Program.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: ID-12-001
State: Idaho
Summary: This transmittal updates the optional state supplement standards for special income level groups consistent with the published 2012 federal poverty levels.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: DE-11-012
State: Delaware
Summary: Which you propose to elect to substitute PERM reviews (active and negative) for the State's MEQC traditional reviews during the State's PERM cycle year.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: NY-11-05
State: New York
Summary: Transitional Medical Assistance Eligibility Criteria Change (FMAP = 50%).
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: AZ-10-009
State: Arizona
Summary: This SPA clarifies the service descriptions and provider qualifications for behavioral health services provided under the rehabilitation services component of the State Plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: MO-11-17
State: Missouri
Summary: Which adds restrictions regarding children under the age of 17 being transported under the non-emergency medical transportation program to be accompanied by a parent or adult. It also adds coverage for foster care participants 18-21 years of age.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT