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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 11 results
Transmittal Number: IN-24-0001
State: Indiana
Summary: This amendment aligns Indiana Medicaid with the 21st Century Cures Act by including Electronic Visit Verification (EVV) assurance for home health services.
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  • Coverage
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SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-23-0017
State: Indiana
Summary: This amendment brings Indiana into compliance with the Inflation Reduction Act which required that all Advisory Committee on Immunization Practices (ACIP) recommended vaccines be covered by Medicaid without cost sharing.
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  • Coverage
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SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-23-0014
State: Indiana
Summary: This amendment adds community-based palliative care as a service under the home health benefit.
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  • Coverage
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SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-23-0008
State: Indiana
Summary: This amendment will require managed care entities (MCEs) contracted with the State of Indiana follow a statewide uniform preferred drug list.
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  • Coverage
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SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-23-0010
State: Indiana
Summary: This amendment will carve out basic life support and advanced life support ambulance transportation as well as nonemergency medical transportation (NEMT) services for nursing facility residents from the fee-for-service Medicaid NEMT brokerage.
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  • Coverage
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SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-23-0013
State: Indiana
Summary: This amendment makes changes to the Medicaid State Plan to allow for pharmacist reimbursement for services and prescriptions of hormonal contraceptive patches and self-administered hormonal contraceptives to eligible Medicaid recipients.
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  • Coverage
  • Reimbursement
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SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-22-0013
State: Indiana
Summary: This amendment assures compliance with electronic visit verification for personal care services as required by the 21^st^ Century Cures Act.
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  • Coverage
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SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-22-0002
State: Indiana
Summary: This amendment modifies coverage requirements for routine patient costs associated with participation in clinical trials.
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  • Coverage
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Transmittal Number: IN-21-0015
State: Indiana
Summary: This amendment modifed the Medicaid Rehabilitation Option (MRO) service requirements to allow other behavioral health professionals to provide MRO services, within their scope of practice and licensure, and to allow certain MRO services to be provided concurrently with other addiction treatment services.
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  • Coverage
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SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-21-0009
State: Indiana
Summary: Clarified what licensed practitioners may order diabetes self-management training.
Approval Date:
Effective Date:
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  • Coverage
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SHARE THIS MEDICAID STATE PLAN AMENDMENT