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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 60 results
Transmittal Number: TX-23-0004
State: Texas
Summary: The amendment documents coverage of COVID-19 vaccines and administration of the vaccines for children under the age of 21.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-24-0001
State: Alabama
Summary: The purpose of this amendment is to update the physician services benefit.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Benefits
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: TX-23-0003
State: Texas
Summary: The proposed amendment documents coverage of COVID-19 tests as a benefit in Texas Medicaid, including at-home tests provided through a pharmacy.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: TX-23-0028
State: Texas
Summary: This SPA provides Texas with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: Al-23-0009
State: Alabama
Summary: This state plan amendment clarifies coverage of crisis intervention services and service rates.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-23-0012
State: Alabama
Summary: This amendment proposes to allow audio only services through telemedicine as described in the Medicaid Telemedicine Policy.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: TX-22-0012
State: Texas
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 adopt the third amendment to the Public Readiness and Emergency Preparedness (PREP) Act which covers the Advisory Committee on Immunization Practices (ACIP) recommended vaccines for children ages three through 18 and indicate the state provides coverage of any drug or biological that is approved (or licensed) by the U.S. Food & Drug Administration (FDA)

or authorized by the FDA under an Emergency Use Authorization (EUA) to treat or prevent COVID-19, consistent with the applicable authorizations.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-22-0007
State: Alabama
Summary: This SPA provides Alabama 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: AL-22-0008
State: Alabama
Summary: This amendment provides all medically necessary preventive, restorative, diagnostic, periodontal, endodontic, oral surgery, and emergent dental procedures for pregnant Medicaid recipients.
Approval Date:
Effective Date:
Topics:
  • Dental
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-22-0002
State: Alabama
Summary: Adds coverage of COVID-19 testing, vaccine, administration, and treatments
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT