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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 894 results
Transmittal Number: OR-25-0004
State: Oregon
Summary: This plan amendment increased the rate for children’s foster care under the 1915(k) state plan option.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: DC-25-0001
State: District of Columbia
Summary: This plan amendment is to update the fee schedule reimbursement rates for home health services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: OR-25-0007
State: Oregon
Summary: This amendment expands the Targeted Case Management Family Connects® Nurse Home Visiting program into Douglas County and revise the provider qualifications for the program.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: OR-25-0003
State: Oregon
Summary: This amendment revises Oregon’s Tribal Consultation Policy.
Approval Date:
Effective Date:
Topics:
  • Tribal/Indian Health Services
Links:
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Transmittal Number: MA-24-0044
State: Massachusetts
Summary: This plan amendment updates rates for Acute Outpatient Hospitals.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MA-24-0041
State: Massachusetts
Summary: This plan amendment updates rates for Mental Health Centers.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MA-24-0042
State: Massachusetts
Summary: This amendment proposes to update the payment methodologies for Medicare crossover payments for certain Durable Medical Equipment services.
Approval Date:
Effective Date:
Topics:
  • Medicaid-Medicare Issues
  • Reimbursement
Links:
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Transmittal Number: DC-25-0002
State: District of Columbia
Summary: This amendment is to update State Plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: MA-24-0040
State: Massachusetts
Summary: This amendment adds doula service coverage for adoptive parents of infants.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Preventative Services
Links:
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Transmittal Number: MA-24-0039
State: Massachusetts
Summary: This plan amendment updates Oxygen and Durable Medical Equipment rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT