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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 1 to 10 of 33 results
Transmittal Number: WA-24-0016
State: Washington
Summary: This SPA amendment is to update the organization and administration of the State Medicaid Agency and reflects internal organizational change.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: WA-24-0018-2
State: Washington
Summary: This SPA amends new income disregards for the Qualified Medicare Beneficiaries (QMB) and Qualifying Individuals eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: WA-24-0003
State: Washington
Summary: This amendment changes to the income eligibility methodologies for Community Behavioral Health Support Services (CBHS) in Washington’s section 1915(i) authorized Supportive Supervision and Oversight benefit.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: WA-23-0048
State: Washington
Summary: This amendment is to comply with Section 1940 (42CFR 1396w) of the Social Security Act by contracting with vendors who specialize in automated financial institution verification for Medicaid agencies and check the financial resources of Medicaid applicants/recipients.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: WA-23-0045
State: Washington
Summary: This amendment is to increase the Personal Needs Allowance (PNA) from to $100 and to $200 for couples.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: WA-23-0008
State: Washington
Summary: This amendment is to adopt the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: WA-22-0034
State: Washington
Summary: This SPA amendment is to disregard all countable resources in determining eligibility for the QMB, SLMB, and QI eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: WA-22-0016
State: Washington
Summary: This amendment updates the agency administration information for Washington State's single state agency, the Health Care Authority.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: WA-22-0020
State: Washington
Summary: The purpose of this SPA is to increase the Personal Needs Allowance (PNA) for all Medicaid in-home clients, including PACE enrollees, from 100 percent of the Federal Poverty Level to 300 percent of the Federal Benefit Rate.


Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WA-22-0022
State: Washington
Summary: This amendment is to increase the excess home equity limit to the federal maximum allowed amount when determining a person’s eligibility for SSI-related long-term care (LTC) services as described in WAC 182-513-1350.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT