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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-11-016
State: Oregon
Summary: This transmittal is being submitted to implement changes to prevent the payment of Provider Preventable Conditions. These are conditions that would have been reasonably avoided through the application of evidence-based practices.
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Transmittal Number: RI-12-001
State: Rhode Island
Summary: This SPA increases the payment standards for the optional State supplementary payment program.
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Transmittal Number: OR-12-004
State: Oregon
Summary: This transmittal is being submitted to implement Section 6401(a) of the Affordable Care Act-provider screening and enrollment assurances.
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Transmittal Number: OR-12-003
State: Oregon
Summary: This transmittal is being submitted to for technical corrections made when SPA approved prior to 11-14. This incorporates the language with appropriate dates.
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Transmittal Number: OR-12-005
State: Oregon
Summary: This amendment implements concurrent care for children on hospice in compliance with Section 2302 of the Affordable Care Act. In addition, this amendment provides comprehensive coverage language on hospice services within the State plan in accordance with 1905(o) of the Social Security Act.
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Transmittal Number: OR-11-013
State: Oregon
Summary: This transmittal is being revised to implement a change in the nursing facility rate setting methodology.
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Transmittal Number: OR-11-014
State: Oregon
Summary: This transmittal is being submitted to reflect a new methodology to calculate the DSH payments to DSH hospitals and to describe the Upper Payment limit calculation.
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Transmittal Number: OR-12-001
State: Oregon
Summary: This transmittal is being submitted to implement changes to The Outpatient payment method as outlined in S.B. 204 passed in the 2011 Oregon Legislative session.
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  • Financing & Reimbursement
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Transmittal Number: OR-11-011
State: Oregon
Summary: HSPA Health Homes.
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Transmittal Number: OR-11-007
State: Oregon
Summary: This SPA was submitted to reflect specified provider rate reductions as required based upon Oregon's 2011-13 legislatively approved budget.
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