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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 9 of 9 results
Transmittal Number: IN-22-0011
State: Indiana
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 reimburse federally qualified health centers (FQHCs) and rural health clinics (RHCs) for the administration of the COVID-19 vaccines. This reimbursement would include a separate reimbursement for the administration of the COVID-19 vaccine in addition to the prospective payment system (PPS) rate for qualifying FQHC/RHC encounters.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-22-0003
State: Indiana
Summary: This amendment target zero cost sharing to individuals in any eligibility group who are eligible for extended postpartum coverage under section 1902(e)(16) of the Social Security Act.


Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-21-0002-A
State: Indiana
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to suspend all cost sharing.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-21-0002
State: Indiana
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 expand telehealth, allow 90-day refills and expand prior authorization for medications, nursing home rate increase, reimbursements to certain providers for COVID-19 related expenses; increase therapeutic leave for individuals with IID/IDD living in ICFs, and waive automatic discharge from ICF after 30 hospital stay days.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-20-0001
State: Indiana
Summary: Tobacco Cessation
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
  • All Drugs Used for Smoking Cessation
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-19-0015
State: Indiana
Summary: Revises Medicaid reimbursement rates for medical equipment, medical supplies, and vision supplies and reestablishes the state's previous reimbursement methodology on a time-limited basis.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Cost Sharing
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-19-0002
State: Indiana
Summary: Increases the Vaccines for Children administration fee maximum from 8 to 15.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
  • Prescription Drugs
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-10-009
State: Indiana
Summary: Exempt Medicare cost - sharing benefits paid under the Medicare Savings Program from estate recovery in accordance with MIPPA Section 115.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: IN-10-008
State: Indiana
Summary: Exempt Medicare cost - sharing benefits paid under the Medicare Savings Program from estate recovery in accordance with MIPPA Section 115.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT