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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 143 results
Transmittal Number: MA-24-0038
State: Massachusetts
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-24-0019
State: Massachusetts
Summary: This amendment proposes to update cost sharing requirements.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
  • Program Administration
Links:
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Transmittal Number: MA-24-0036
State: Massachusetts
Summary: This amendment strikes references of a 60-day postpartum policy to the 12-month postpartum policy as approved under SPA TN 22-0014.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MA-24-0034
State: Massachusetts
Summary: This amendment updates the estate recovery hardship policies, specifically reducing estate recovery to the federal minimum requirements, to align with Massachusetts state law.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MA-24-0018
State: Massachusetts
Summary: This amendment waives the Recovery Audit Contractor (RAC) Program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OR-22-0024-A
State: Oregon
Summary: This amendment is to remove the designations for Prepaid Inpatient Health Plan (PIHP) and Prepaid Ambulatory Health Plan (PAHP) from the State Plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MA-22-0018
State: Massachusetts
Summary: This amendment updates the state plan to waive the Recovery Audit Contractor (RAC) Program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OR-22-0002
State: Oregon
Summary: Adds a new licensed provider type (dental therapists) to the Oregon State Plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: OR-21-0020
State: Oregon
Summary: Continues flexibilities granted in the Oregon 1915(k) Community First Choice State Plan Option beyond the end of the Public Health Emergency (PHE).
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: OR-21-0023
State: Oregon
Summary: Makes assurances for provisions added by the Consolidated Appropriations Act, 2021, Division CC, Title II, Section 209, concerning Medicaid coverage of certain medical transportation (section 209).
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT