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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 111 to 120 of 191 results
Transmittal Number: DC-17-0003
State: District of Columbia
Summary: Clarifies that the eligible population criteria for DC SPA 16-0012, My Health GPS, must have three or more chronic conditions.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: DC-17-001
State: District of Columbia
Summary: Clarifies the scope of services available for individuals eligible for State Plan PCA services, under the SPA recently approved by CMS, SPA #15-007.
Approval Date:
Effective Date:
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Links:
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Transmittal Number: DC-16-0012
State: District of Columbia
Summary: Individuals eligible to receive Health Home services include beneficiaries with multiple chronic conditions.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
Links:
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Transmittal Number: DC-16-008
State: District of Columbia
Summary: This amendment delineates the process upon which the District will establish its Medicaid Asset Verification Program, inclusive of a plan for systems development and a process which verification will be established.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: DC-16-007
State: District of Columbia
Summary: Modifies the State's standards and methods for setting intermediate care facility payment rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DC-16-006
State: District of Columbia
Summary: Modifies the State's methods and standards for setting nursing facility payment rates.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: DC-16-005
State: District of Columbia
Summary: Outpatient Hospital Supplemental Payment.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: DC-16-004
State: District of Columbia
Summary: Dental Services.
Approval Date:
Effective Date:
Topics:
  • Dental
Links:
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Transmittal Number: DC-15-007
State: District of Columbia
Summary: Allows DC the authority to provide personal care services under the state plan for medical assistance.
Approval Date:
Effective Date:
Topics:
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Transmittal Number: DC-16-002
State: District of Columbia
Summary: Reimbursement of Physician Administered Chemotherapy Drugs.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT