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 1 to 10 of 10 results
Transmittal Number: AL-24-0005
State: Alabama
Summary: This amendment proposes contracting with a Recovery Audit Contractor to identify underpayments and overpayments of Medicaid claims under the State Plan and any waiver of the State Plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Program Integrity
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-24-0001
State: Alabama
Summary: The purpose of this amendment is to update the physician services benefit.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Benefits
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-23-0004
State: Alabama
Summary: This amendment is to update the requirements and qualifications needed to be a rehabilitative services provider.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
  • Preventative Services
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-23-0012
State: Alabama
Summary: This amendment proposes to allow audio only services through telemedicine as described in the Medicaid Telemedicine Policy.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-23-0002
State: Alabama
Summary: This SPA is 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
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-22-0009
State: Alabama
Summary: This amendment proposes to provide services to identified recipients under age 21 to improve family functioning by clinically stabilizing the living arrangement, promoting reunification, or preventing the utilization of out-of-home therapeutic venues (i.e., psychiatric hospitals, psychiatric residential treatment facilities, or residential treatment services).
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-22-0001
State: Alabama
Summary: This amendment is regarding clinical trials and is in compliance with SMD # 21-005, as it relates to the Consolidated Appropriations Act, 2021 (Public Law 116-260).
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Clinic
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-21-0010
State: Alabama
Summary: This amendment will allow for case management services to assist Medicaid eligible pregnant women of any age medical and social services.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-21-0006
State: Alabama
Summary: Proposes to add medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AL-21-0004
State: Alabama
Summary: This amendment will allow for Case Management Services to be billed for High Intensity Care Coordination for each eligible recipient in the family, each month, according to each recipient’s unique needs. 
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT