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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 301 to 310 of 337 results
Transmittal Number: RI-12-001
State: Rhode Island
Summary: This SPA increases the payment standards for the optional State supplementary payment program.
Approval Date:
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Transmittal Number: DE-12-006
State: Delaware
Summary: Which assure compliance with and implementation of Section 6401 of the Affordable Care Act regarding Medicaid Provider Screening and Enrollment.
Approval Date:
Effective Date:
Topics:
  • Eligibility
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Transmittal Number: DE-12-002
State: Delaware
Summary: This SPA modifies qualification criteria for Disproportionate Share Hospitals and their reimbursement methodology.
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  • Financing & Reimbursement
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Transmittal Number: DE-12-001
State: Delaware
Summary: Which propose to disregard recipient resources in an amount equal to the insurance benefit payments made to or on behalf of an individual who is a beneficiary under a long-term care insurance policy, in accordance with the provisions of Section 6021 of the Deficit Reduction Act of 2005.
Approval Date:
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  • Financing & Reimbursement
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Transmittal Number: DE-11-012
State: Delaware
Summary: Which you propose to elect to substitute PERM reviews (active and negative) for the State's MEQC traditional reviews during the State's PERM cycle year.
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  • Eligibility
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Transmittal Number: DE-11-010
State: Delaware
Summary: This SPA implements the Program of All-Inclusive Care for the Elderly (PACE) program in Delaware as an optional Medicaid State Plan service.
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  • Eligibility
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Transmittal Number: DE-11-008
State: Delaware
Summary: This SPA identifies freestanding birth center services as a mandatory Medicaid benefit, pursuant to Section 2301 of the Affordable Care Act.
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  • Benefits
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Transmittal Number: DE-11-007
State: Delaware
Summary: This SPA identifies as a plan service concurrent hospice services for children under age 21 years, pursuant to Section 2302 of the Affordable Care Act.
Approval Date:
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  • Eligibility
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Transmittal Number: DE-11-011
State: Delaware
Summary: Which propose to implement Asset Verification System, a system for verifying the assets of aged, blind or disabled applicants for and recipients of Medicaid.
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  • Eligibility
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Transmittal Number: DE-11-009
State: Delaware
Summary: Reimbursement methodologies for medical and dental free-standing clinics.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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