An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: Continues to allow eligible primary care physicians that practice in family medicine, genral internal medicine or pediatric medicine to receive enhanced payments for certain specified procedure codes for evaluation and management services and certain Vaccines for Children vaccine administration codes.
Summary: This SPA allows emergency medical services provided in the hospital emergency room to be certified and signed by the attending licensed physician, nurse practitioner or physician assistant at the time the service is rendered and documented in the medical record.
Summary: Removes barbiturates, benzodiazepines and agents used to promote smoking cessation from the list of drugs the state Medicaid program may exclude from coverage or otherwise restrict in order to comply with the requirements of Section 2502(a) of the ACA.
Summary: This SPA proposes to limit the number of outpatient pharmacy prescriptions for all recipients, with certain class exemptions, to five total drugs per month per adult recipient.
Summary: Removes limits on certain hospital services and to change the funding methodology for public hospital disproportionate share hospital payments.
Summary: Allows Medicaid to align with the requirements of the Alabama Board of Medical Examiner's Administrative Code for Qualifications and Limitations of Physician's and Physician Extenders (e.g. nurse practitioners, physician assistants).
Summary: This SPA expands the state's health homes program statewide and adds Hepatitis C as a covered chronic condition. The State plan pages for this SPA were submitted through the Medicaid Model Data Lab (MMDL) on September 17, 2014.
