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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 1 to 10 of 41 results
Transmittal Number: WI-24-0014
State: Wisconsin
Summary: This amendment will increase the personal needs allowance from $45 to $55 per individual and from $90 to $110 per couple.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WI-24-0010
State: Wisconsin
Summary: This Amendment totally disregards Medicare Advantage Supplemental Benefits as income and Goals and objectives as assets.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WI-24-0007
State: Wisconsin
Summary: This SPA in which the state will document its methodology for considering reasonably predictable changes in income.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WI-24-0003
State: Wisconsin
Summary: This amendment modifies the maximum amount allowed for the maintenance of a home of institutionalized beneficiaries to reflect the Social Security Adjustment (COLA).
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WI-23-0020
State: Wisconsin
Summary: This amendment revises the premium requirements for Medicaid Purchase Plan (MAPP) members to include lowering the monthly premium.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WI-24-0005
State: Wisconsin
Summary: This Amendment in which the state disregards Tribal General Welfare Assistance (GWA) in determining financial eligibility for certain non-MAGI eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WI-24-0004
State: Wisconsin
Summary: This Amendment provides 12 months continuous eligibility for children under the age of 19 in all mandatory and optional eligibility groups (excluding Medically Needy).
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: WI-24-0003-A
State: Wisconsin
Summary: This Amendment memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Wisconsin's state plan.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WI-23-0005
State: Wisconsin
Summary: The State adopts 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
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WI-23-0007-A
State: Wisconsin
Summary: The State memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Wisconsin's state plan.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT