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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 22 results
Transmittal Number: GA-23-0001-CECH
State: Georgia
Summary: The purpose of this amendment is to comply with Section 5112 of the Consolidated Appropriations Act, 2023 (CAA, 2023) amended Titles XIX to require that states provide 12 months of continuous eligibility (CE) for children under the age of 19 in Medicaid.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
  • Benefits
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: GA-23-0002-VLP
State: Georgia
Summary: This amendment is to provide full coverage of Medicaid benefits for lawfully present non-citizen pregnant individuals and children under 19, effective January 1, 2024.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
  • Benefits
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: GA-23-0006
State: Georgia
Summary: This amendment is to add the Pathways beneficiaries as a mandatory population enrolled in managed care.
Approval Date:
Effective Date:
Topics:
  • Managed Care
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: GA-23-0005
State: Georgia
Summary: 9811 SPA - ARP Vaccine, Treatment and Testing Template (7.7)
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: GA-23-0003
State: Georgia
Summary: 9811 SPA - ARP Vaccine, Treatment and Testing Template (7.7)
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: GA-23-0004
State: Georgia
Summary: The purpose of this SPA to implement mandatory coverage and reimbursement of COVID-19 testing, vaccine and vaccine administration, and treatment in accordance with Section 9811 of the American Rescue Plan (ARP) Act.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: GA-23-0001
State: Georgia
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to Waive any signature for the dispensing of drugs during the Public Health Emergency through May 1, 2022.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: GA-22-0005
State: Georgia
Summary: This SPA provides Georgia with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: GA-21-0003
State: Georgia
Summary: Adds Medication Assisted Treatment (MAT) as a mandatory benefit.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: GA-20-0008
State: Georgia
Summary: Effective for services beginning January 1, 2021, this amendment adds Silver Fluoride Diamine (HCPCS Code D1354) as a covered service. 
Approval Date:
Effective Date:
Topics:
  • Dental
  • Coverage
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT