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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 151 results
Transmittal Number: WA-24-0048
State: Washington
Summary: This Amendment increases the income standard for the optional eligibility group serving Individuals whose incomes are above 133 percent of the federal poverty level and are under age 65.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: WA-24-0051
State: Washington
Summary: This SPA is to update state plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: WA-24-0023
State: Washington
Summary: This SPA amends State Health Home Program to comply with new federal requirements for mandatory Health Home Core Set(s) reporting.
Approval Date:
Effective Date:
Topics:
  • Health Homes
  • Medicaid and CHIP Program (MACPro)
Links:
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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-23-0027
State: Washington
Summary: This amendment will update SPA language regarding appropriate provider types to reflect current Care Coordination Organizations and will modify language to better align with current program policy, and updates rates for the Health Home program.
Approval Date:
Effective Date:
Topics:
  • Home Health
  • Medicaid and CHIP Program (MACPro)
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-22-0029
State: Washington
Summary: Provider and Facility Rates
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-22-0027
State: Washington
Summary: Updates the fee schedule effective dates for several Medicaid programs and services. This is a regular, budget neutral update to keep rates and billing codes in alignment with the coding and coverage changes from CMS
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT