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 46 results
Transmittal Number: AK-24-0007
State: Alaska
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to extend SPA AK-23-0003 pharmacy dispensing fee rates after the end of the COVID-19 Public Health Emergency, through May 11, 2024.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AK-24-0005
State: Alaska
Summary: This amendment is to update the state plan to waive the Recovery Audit Contractor (RAC) Program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AK-23-0008
State: Alaska
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to extend SPA AK-23-0003 pharmacy dispensing fee rates after the end of the COVID-19 Public Health Emergency, through May 11, 2024.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AK-23-0003
State: Alaska
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 allow for a professional dispensing fee to be reimbursed no more than every 14-days per individual "medication strength".
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AK-23-0001
State: Alaska
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 waiver signature for the dispensing of drugs.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AK-22-0008
State: Alaska
Summary: This amendment reflects the new organizational structure of the single state agency of Alaska.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AK-22-0006
State: Alaska
Summary: This amendment updates the state plan to waive the Recovery Audit Contractor (RAC) Program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AK-21-0009
State: Alaska
Summary: adds federally mandates transportation assurances and meets all the minimum requirements under Section 1902(a)(87) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AK-22-0002
State: Alaska
Summary: Updates the state supplemental program's income standards.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AK-21-0008
State: Alaska
Summary: modify rates payable to Indian Health Services and eligible tribal health facilities operating under P.L. 93-638.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Tribal/Indian Health Services
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT