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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 45 results
Transmittal Number: OR-23-0012
State: Oregon
Summary: This SPA is to make a change regarding when benefits are provided. Once the reasonable opportunity period is provided, the agency furnishes benefits on the first day of the month of application.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: OR-22-0012
State: Oregon
Summary: This SPA approves Oregon’s request for a state option to provide qualifying community-based mobile crisis intervention services.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: OR-22-0011
State: Oregon
Summary: The purpose of this amendment is to comply with the American Rescue Plan (ARP) Act of 2021 that requires coverage of COVID-19 vaccines, testing, treatment, and treatment of a condition that could complicate the treatment of COVID-19 in Medicaid.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: OR-22-0008
State: Oregon
Summary: This SPA provides Oregon with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Benefits
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-21-0021
State: Oregon
Summary: Adds a nursing facilities and home and community-based services (HCBS) provider wage add-on incentive to support retention of trained staff of nursing facilities and HCBS providers.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: OR-21-0013
State: Oregon
Summary: Renew Oregon’s 1915(i) State Plan HCBS benefit. The effective date for this renewal is January 1, 2022.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: OR-21-0014
State: Oregon
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment to include coverage and reimbursement for the administration of monoclonal antibody treatment or any drug treatment authorized under an FDA Emergency Use Authorization for COVID-19.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: OR-21-0012
State: Oregon
Summary: This SPA proposes to expand the full continuum of substance use disorder care by increasing access to certain services to beneficiaries diagnosed with a substance use disorder. 
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: OR-21-0010
State: Oregon
Summary: Effective April 1, 2021, this amends the state's coverage pages to include updates to covered over-the-counter items. 
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT