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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 11 results
Transmittal Number: VT-24-0007
State: Vermont
Summary: This amendment is to add coverage of community-based mobile crisis services. This aligns the state’s Alternative Benefit Plan (ABP) with approved SPA 24-0005.
Approval Date:
Effective Date:
Topics:
  • ABP
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-23-0026
State: Kansas
Summary: This amendment is to add the Alternative Benefit Plan (ABP) for the Supports and Training for Employing People Successfully (STEPS) program.
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-23-0038
State: Kansas
Summary: This amendment is to amend the Working Healthy Alternative Benefit Plan (ABP) to change the Medicaid authority from the 1115 waiver for managed care to the 1915(b) waiver.
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0041
State: Vermont
Summary: This Alternative Benefit Plan (ABP) adds Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT) and Paramedic provider types to ensure coverage authority for ambulance treatment without transport.  This aligns the state’s ABP with approved SPA 23-0037.
Approval Date:
Effective Date:
Topics:
  • ABP
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0025
State: Vermont
Summary: The state submitted this SPA to align its ABP with previously approved SPAs 23-0017, 23-0023, and 23-0027 regarding dental therapists, podiatry services and prior authorization policies for prosthetic devices.
Approval Date:
Effective Date:
Topics:
  • ABP
  • Prior Authorization
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-22-0003
State: Vermont
Summary: This amendment adds mandatory coverage of routine patient costs in qualifying clinical trials per the Consolidated Appropriations Act of 2021 to the state's ABP.
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-21-0015
State: Vermont
Summary: This amendment is to add medical nutrition therapy benefits to its ABP.
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-21-0003
State: Vermont
Summary: This amendment is to expand the provider types that can authorize home health plans of care and order durable medical equipment in its ABP.
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-20-0007
State: Vermont
Summary: This amendment is to add medication management services to its ABP.
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-20-0005
State: Vermont
Summary: This amendment is to include an increase of the dental benefit cap to $1,000 per year to its ABP.
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT