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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 47 results
Transmittal Number: VT-24-0010
State: Vermont
Summary: This amendment proposed new disregards for Medicare Savings Program eligibility groups.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-24-0001
State: Vermont
Summary: This amendment proposes to add coverage of residential eating disorder treatment.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Preventative Services
  • Other Licensed Practitioners
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-24-0002
State: Vermont
Summary: This amendment proposed to adopt the 12-month continuous eligibility mandate for children, extend the initial transitional medical assistance (TMA) period from six months to 12, and elect the option to require less than three months of eligibility or enrollment in the parent/caretaker relative eligibility group for TMA eligibility.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-24-0004
State: Vermont
Summary: This amendment proposed to document the new income standards for its optional state supplement program, beneficiaries of which are eligible for Medicaid under Vermont's State Plan.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
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: VT-24-0005
State: Vermont
Summary: This amendment adds enhanced mobile crisis services to the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0015
State: Vermont
Summary: This amendment proposes to assure coverage of adult vaccines per the Inflation Reduction Act and coverage of preventive services.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Vaccine
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0039
State: Vermont
Summary: This amendment specifies that select incontinence supplies must be supplied by the statewide contracted vendor unless prior authorized.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Home Health
  • Other Licensed Practitioners
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-23-0031
State: Vermont
Summary: This SPA proposes to amend the state's excluded drug coverage listing.
Approval Date:
Effective Date:
Topics:
  • Covered Outpatient Drug
  • Coverage
  • Prescribed Drugs
  • Prescription Drugs
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT