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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.
Summary: This SPA provides Arizona with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to waive any signature requirements for the dispensing of drugs during the Public Health Emergency.
Summary: The purpose of this amendment is to comply with the requirements for mandatory coverage of COVID-19 vaccines, testing, and treatment without cost-sharing under section 9811 of the American Rescue Plan.
Summary: This SPA attests to the state’s coverage of COVID-19 vaccines and administration of vaccines, as required by section 1905(a)(4)(E) of the the Social Security Act. CMS supports this change, as it is required by statute.
Summary: The SPA attests to the state’s coverage of COVID-19 treatment, as required by section 1905(a)(4)(F) of the Social Security Act. CMS supports this change, as it is required by statute.
Summary: This SPA attests to the state’s coverage of COVID-19 testing, as required by section 1905(a)(F)(4) of the Social Security Act. CMS supports this change, as it is required by statute.
Summary: This SPA provides the District of Columbia with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to permit the District of Columbia Medicaid Program to increase reimbursement to Medicaid providers to one hundred percent (100%) of the rates paid by the Medicare program in order to support additional costs related to administration of COVID-19 vaccines during the COVID-19 public health emergency effective December 11, 2020. The SPA will also clarify that COVID-19 vaccine administration may be reimbursed to the administering provider, but not the nursing facility or intermediate care facility for individuals with intellectual disabilities (ICF/IID), where the procedure is provided to a Medicaid enrolled individual. Additionally, this SPA makes the following adjustments to benefits currently covered in the state plan: Coverage of COVID 19 vaccine administration may be furnished by pharmacies, pharmacists, pharmacy interns and pharmacy technicians within their scope of practice, who are qualified providers of COVID-19 vaccines in accordance with the PREP Act Declaration and authorizations.
