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 611 to 620 of 667 results
Transmittal Number: MN-10-018
State: Minnesota
Summary: Medication Therapy Management Services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-10-016
State: Minnesota
Summary: Chiropractors Services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MD-10-08
State: Maryland
Summary: This SPA extends Medicaid to independent foster care adolescents, in accordance with State legislation, to provide for individuals who were in foster care under the responsibility of the State on their 18th birthday and have not reached the age of 21.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-10-014A
State: Minnesota
Summary: Dental services.
Approval Date:
Effective Date:
Topics:
  • Dental
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-09-021
State: Minnesota
Summary: This amendment add Regions Hopsital to the group of hospitals for which uncompensated care costs are used as the basis for a disproportionate share hospital (DSH) payment.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-10-009
State: Minnesota
Summary: Adopting CHIPRA option to cover lawfully residing noncitizen pregnant women and and children; eliminating sponsor deemng for noncitizen pregnant women and children; eliminating requirement that automatically eligible newborn live with mother.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-10-008
State: Minnesota
Summary: Organization for administration of the Medicaid agency and state plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-10-007
State: Minnesota
Summary: State Plan Amendment Review Authority Update.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MD-10-02
State: Maryland
Summary: This amendment modifies the methods and standards for making Medical Assistance payments to nursing facilities (NFs). Specifically, this SPA increases NF reimbursements by reducing the net reduction factor by 8.85 percent for certain cost centers and offsets the increase by implementing a light care incentive factor of 0.97.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MN-09-032
State: Minnesota
Summary: Payment Rate for Physician Delivery Services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT