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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: OR-12-010
State: Oregon
Summary: This SPA was submitted to reflect a change to the date for the published fee schedule for Targeted Case Management for (TCM) Medicaid High Risk Infants and Children.
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Transmittal Number: OR-12-009
State: Oregon
Summary: This SPA was submitted to reflect an increase to some Durable Medical Equipment rates due to a legislative budget adjustment in SB 5701-A.
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Transmittal Number: OR-12-007
State: Oregon
Summary: This SPA adds Non-Traditional Healthcare Workers under the supervision of a licensed health care professional to the Medicaid State plan.
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Transmittal Number: OR-12-008
State: Oregon
Summary: Adds an option to FQHC clinics to receive an Alternate Payment Methodology (APM) for reimbursement.
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Transmittal Number: RI-12-006
State: Rhode Island
Summary: This SPA was submitted to implement the provider screening and enrollment provisions of Section 6401(a) of the Affordablc Care Act.
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  • Benefits
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Transmittal Number: OR-12-02
State: Oregon
Summary: Updates Methods of Assuring Transportation, to reflect the current, long-standing, statewide use of non-emergency medical transportation brokers under a 1915(b) waiver, to arrange transportation and to reimburse for all but two types of transportation-related costs.
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  • Financing & Reimbursement
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Transmittal Number: RI-11-008
State: Rhode Island
Summary: This SPA approves the transition of the single -state agency designation from the Department or Human services (DHS) to the Executive Office of Health and Human Services (EOHHS).
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  • Program Administration
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Transmittal Number: RI-12-004
State: Rhode Island
Summary: This approval reflects changes made post-submission, including changes to the 4.19B reimbursement page 3.
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  • Financing & Reimbursement
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Transmittal Number: RI-12-003
State: Rhode Island
Summary: Increases Amount of Allowable Home Equity Interest for Individuals Seeking Medicaid Eligibility for Nursing Facility Services or Other Long-Term Care Services.
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Transmittal Number: RI-12-002
State: Rhode Island
Summary: Increases Medically Needy Income Limits for 2012.
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