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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 121 to 130 of 3688 results
Transmittal Number: MT-23-0002
State: Montana
Summary: This amendment seeks an exception to the Medicaid Recovery Audit Contractor (RAC) requirements.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-23-0001
State: North Carolina
Summary: Updates property values for undue hardship definition and cost effectiveness methodology. Revisions have also been made to the undue hardship criteria by increasing the amount of assets for a qualified undue hardship applicant or related family member.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-23-0004-A
State: North Carolina
Summary: This amendment allows new providers time to obtain their accreditation through an approved accreditation organization thereby increasing access to services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-22-0009
State: Alabama
Summary: This amendment proposes to provide services to identified recipients under age 21 to improve family functioning by clinically stabilizing the living arrangement, promoting reunification, or preventing the utilization of out-of-home therapeutic venues (i.e., psychiatric hospitals, psychiatric residential treatment facilities, or residential treatment services).
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-23-0012
State: Colorado
Summary: This Amendment updates the State Governor’s Designation Letter for who can sign state plan submissions for Colorado.
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Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WY-23-0002
State: Wyoming
Summary: This State Plan Amendment is an exemption of the State’s requirement to contract with a Medicaid Recovery Audit Contractor.  This is a time-limited SPA with an expiration date of July 1, 2025. This is a period not to exceed two (2) years.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PA-23-0007
State: Pennsylvania
Summary: This amendment is a request for an exception from the Medicaid Recovery Audit Contractor (RAC) requirements.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OH-23-0001
State: Ohio
Summary: This amendment clarifies state plan language related to the coverage of ambulatory surgical center services.  This SPA is for clarification purposes and does not propose any policy changes.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Program Administration
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Transmittal Number: VT-23-0001
State: Vermont
Summary: This amendment proposes to adjust Vermont Medicaid's prior authorization requirements for chiropractic services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Prior Authorization
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: DE-22-0015
State: Delaware
Summary: This amendment requests for an exception from the Medicaid Recovery Audit Contractor (RAC) requirements.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT