U.S. flag

An official website of the United States government

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.

Search the Text of Medicaid State Plan Amendments
Filter by Approval Date
Filter by Effective Date
Showing 381 to 390 of 412 results
Transmittal Number: SC-10-007
State: South Carolina
Summary: Change Methods and Standard for Payment Rates for Pharmacy Deductible and Coinsurance.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: HI-10-003
State: Hawaii
Summary: This amendment adds smoking cessation as a covered Medicaid benefit and expands current coverage of prescription and non-prescription tobacco cessation agents for the Medicaid eligible population.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SC-10-003
State: South Carolina
Summary: Impacts State CHIP Healthy Connections Kids HCK Coverage Group.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SC-10-002
State: South Carolina
Summary: Provides for Data Matching Through Public Assistance Reporting System PARIS Project.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: HI-10-004
State: Hawaii
Summary: This amendment provides for disproportionate share hospital payments for the State fiscal year ending June 30, 2010.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: HI-09-011
State: Hawaii
Summary: This amendment denies reimbursement for long-term care services to individuals with home equity exceeding $750,000 who do not have a spouse, child under 21, or adult disabled child residing in the home.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: HI-09-012
State: Hawaii
Summary: This amendment implements the changes in the treatment of transfers of assets for less than fair market value required by the Deficit Reduction Act of 2005.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: HI-10-002
State: Hawaii
Summary: This amendment prohibits the estate recovery of Medicare cost sharing benefits for dual eligible beneficiaries age 55 and over.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: HI-09-010
State: Hawaii
Summary: This amendment reduces the amount of medical and remedial expenses that may be deducted in the post-eligibility process to zero if they were incurred as the resuh of the imposition of a transfer of asset penalty period.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SC-08-024
State: South Carolina
Summary: Update Nursing Facility Room and Board Rate for Residents Receiving Hospice Services.
Approval Date:
Effective Date:
Topics:
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT