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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 47 results
Transmittal Number: ME-24-0019
State: Maine
Summary: This amendment proposes several clarifications to the MaineCare Accountable Communities (AC) Program.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
  • Reimbursement
Links:
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Transmittal Number: ME-24-0029
State: Maine
Summary: This amendment proposed to memorialize its new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Maine's State Plan.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Coverage
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ME-24-0021
State: Maine
Summary: This Amendment will adopt the 12-month continuous eligibility mandate for children, as enacted by Section 5112 of the Consolidated Appropriations Act of 2023.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ME-24-0020
State: Maine
Summary: This amendment proposes to amend requirements for individuals receiving targeted case management (TCM) services, specifically for members experiencing homelessness, by adding the allowance that a member may also have a history of homelessness and a Service Prioritization Decision Assistance Tool (SPDAT) score of 20-60 and qualify for this level of TCM services.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ME-24-0010
State: Maine
Summary: This amendment proposed income disregards for the Qualified Medicare Beneficiary (QMB) and Qualifying Individual (QI) eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
  • Medicaid-Medicare Issues
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SC-23-0019
State: South Carolina
Summary: This amendment proposes to align the limitations on non-covered medical expenses with the current Medicaid coverage and benefits.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Benefits
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ME-23-0026
State: Maine
Summary: This amendment proposed to memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Maine's state plan.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ME-23-0024
State: Maine
Summary: This amendment proposed to eliminate the resource test for the QMB, SLMB, and QI eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: ME-23-0017
State: Maine
Summary: This amendment proposed to increase the maximum income eligibility standard for children under 21.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: ME-23-0011
State: Maine
Summary: The state proposed to adopt the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, Pub. L. No. 115-217, section 1002.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT