U.S. flag

An official website of the United States government

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.

Search the Text of Medicaid State Plan Amendments
Filter by Approval Date
Filter by Effective Date
Showing 81 to 90 of 3686 results
Transmittal Number: NH-24-0001
State: New Hampshire
Summary: This amendment proposes to memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MO-22-0009
State: Missouri
Summary: This amendment gives a 2-year exception to the recovery audit contractor (RAC) until April 1, 2026.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-24-0001
State: Alabama
Summary: The purpose of this amendment is to update the physician services benefit.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Benefits
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-24-0002
State: Alabama
Summary: The purpose of this amendment is to assure that the State is in compliance with Section 202 of the Consolidated Appropriations Act 2022, as requested by the Centers for Medicare & Medicaid Services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Third Party Liability
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ME-23-0028
State: Maine
Summary: This amendment was submitted to comply with the mandatory Medicaid program coverage of adult vaccinations under the Inflation Reduction Act.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Vaccine
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NJ-23-0026
State: New Jersey
Summary: This amendment provides assurances that the state complies with vaccine requirements consistent with the Inflation Reduction Act.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Vaccine
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: PR-23-0003
State: Puerto Rico
Summary: This amendment proposed to elect use of the Federal Poverty Level in determining income eligibility under Puerto Rico's State Plan. 
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NC-23-0038
State: North Carolina
Summary: This amendment adds a tribal consultation process for Indian Health Services Facilities and Urban Indian Organizations.
Approval Date:
Effective Date:
Topics:
  • Indian Health Services
  • Tribal/Indian Health Issues
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MO-23-0033
State: Missouri
Summary: Annual assurance of the pharmacy program's adherence to the FULs requirement of federal regulation regarding expenditures for multiple source drugs.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Prescribed Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NM-23-0015
State: New Mexico
Summary: This amendment is to discontinue the Recovery Audit Contractor (RAC) program. These changes are being made due to the State having a high managed care population at 83% compared to 17% Fee for Services; therefore, the state does not project any large recoveries in the future for the RAC program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT