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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 3690 results
Transmittal Number: DC-23-0006
State: District of Columbia
Summary: An exemption from the Medicaid Recovery Audit Contractor (RAC) requirements for two years.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-23-0019-A
State: North Carolina
Summary: This amendment is to add authority for the Community Care of North Carolina (CCNC) Primaty Care Case Management Entity (PCCMe) program to provide payments to fee-for-service (FFS) providers on behalf of the State, as described by 42 Code of Federal Regulations (CFR) 438.2.
Approval Date:
Effective Date:
Topics:
  • Managed Care
  • Program Administration
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: HI-23-0009
State: Hawaii
Summary: This amendment is to waive the provider application fee.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MS-23-0009
State: Mississippi
Summary: This amendment proposes to allow the Division of Medicaid (DOM) to revise the education and experience requirements for Early Intervention case managers, effective April 1, 2023.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CA-23-0012
State: California
Summary: This state plan amendment allows the state to disregard, under the authority of section 1902(r)(2) of the Social Security Act, all countable resources for all eligibility groups covered under the state plan to which a resource standard applies.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ME-23-0018
State: Maine
Summary: This amendment proposes to extend Maine’s previously granted Recovery Audit Contractor (RAC) program exception from June 1, 2023, to June1, 2025
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WA-23-0024
State: Washington
Summary: This amendment reflects the appointment of Dr. Charissa Fotinos as the state’s Medicaid Director, in the Washington State Health Care Authority, which is the single state agency.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: IL-23-0009
State: Illinois
Summary: This amendment proposes to allow annual increases to the maintenance needs standard and resource standard for the community spouse in a post-eligibility determination.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Eligibility
  • Benefits
Links:
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Transmittal Number: VT-23-0027
State: Vermont
Summary: This amendment proposes to update the coverage description and prior authorization policies for transplantation services.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Prior Authorization
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ND-23-0009
State: North Dakota
Summary: This amendment amends the State Plan to request an extension to the exemption for a Recovery Audit Contractor (RAC).
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT