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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: NM-09-002
State: New Mexico
Summary: To implement the required Asset Verification System for the purpose of determining eligibility for aged, blind and disabled Medicaid applicants and recipients in accordance with 1940 of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: ME-09-018
State: Maine
Summary: This amendment proposes to expand your primary care case management (PCCM) program to add a patient-centered medical home services (PCMH) component.
Approval Date:
Effective Date:
Topics:
  • Managed Care
  • Program Administration
Links:
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Transmittal Number: MN-09-012
State: Minnesota
Summary: Transportation Services and Assurance of Transportation.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WA-09-028
State: Washington
Summary: Personal Care Services Fee Schedule Effective Date.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NC-09-019
State: North Carolina
Summary: Apply an overall negative inflationary adjustment of 4.16 percent for SFY 2010 and freeze rates for SFY 2011. This change is required due to the State administrative decision to freeze existing rates effective July 1, 2009 and effective October 1, 2009 to implement negative inflationary adjustments for SFY 2010.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MO-09-11
State: Missouri
Summary: Annual assurance of the pharmacy program adherence to the requirements of federal regulation.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MN-10-002
State: Minnesota
Summary: Volume Purchasing of Eyeglasses.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: TX-09-039
State: Texas
Summary: Extends the allowable number of Medicaid drug refills to 11 refills when dispensed within 12 months of the date of the original prescription.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
  • Program Administration
Links:
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Transmittal Number: NC-09-020
State: North Carolina
Summary: Adjusts State Fiscal Year (SFY) 2010 and freezes SFY 2011 rates for case management services based on an overall program reduction of 9.807 percent for SFY 2010. SFY 2011 rates are frozen at the SFY 2010 amount.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: IA-09-023
State: Iowa
Summary: This is a technical amendment to correct a previous technical error in regard to this page. It is being submitted.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT