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 20 results
Transmittal Number: AR-24-0008
State: Arkansas
Summary: This Amendment provides Continuous Eligibility for Children.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-23-0015
State: Arkansas
Summary: The State adopts new financial disregards for certain optional non-MAGI eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-22-0008
State: Arkansas
Summary: This amendment proposes to establish rules for cost sharing in Arkansas.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-22-0026
State: Arkansas
Summary: This amendment proposes to update cost sharing in Arkansas.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-22-0027
State: Arkansas
Summary: Extend full Medicaid benefits to all enrollees in the Pregnant Women eligibility group.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AK-20-0002
State: Arkansas
Summary: Updates the income standards for recipients of Alaska's Optional State Supplement Payments. In Alaska, individuals are able to qualify for Medicaid by reducing their countable gross income through the use of approved Medicaid Qualifying Trust
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-20-0015
State: Arkansas
Summary: This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to suspend cost-sharing for all eligibility groups for COVID-19 testing and treatment, add new optional benefits (management and evaluation service for adults with SMI; well-check service for children and adults with developmental disabilities); adjust benefits currently in the state plan (exempt certain services from annual limits when associated with testing or treatment of COVID-19); allow 90-day supplies of drugs and early refills; allow exceptions to the State's preferred drug list in case of shortages; establish payments for the new optional benefits; increase rates for direct care services and day habilitation; establish payments for delivering existing services through telehealth; and establish rates for COVID-19 screening and testing.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
  • Benefits
  • Prescription Drugs
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-19-001
State: Arkansas
Summary: Proposes to drop coverage of domiciliary services from the state plan and drop the copay associated with this service.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-13-0018
State: Arkansas
Summary: Updates the Policies and Practices Related to Citizenship and Non-Citizenship Eligibility.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AR-13-0013-MM4
State: Arkansas
Summary: Implements Medicaid Modified Adjusted Gross Income MAGI Eligibility and Benefits SPA.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT