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 12 results
Transmittal Number: CO-24-0035
State: Colorado
Summary: The Amendment Amends Colorado's State Plan to include Community First Choice (CFC) 1915 (k) (NEW).
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-24-0040
State: Colorado
Summary: This amendment updates the maximum daily coverage limits for long term home health and for acute home health due to a 2% across-the-board rate increase.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-24-0033
State: Colorado
Summary: This amendment establishes specific guidelines and limitations for the Intensive Outpatient Program (IOP) substance use disorder services.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-23-0028-B
State: Colorado
Summary: The SPA allows Medicaid members 12 sessions of speech therapy before prior authorization is required.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-23-0024
State: Colorado
Summary: The SPA updates the maximum daily coverage limits for long term home health and for acute home health due to a 3% across-the-board rate increase.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-23-0004
State: Colorado
Summary: This amendment to adds coverage and reimbursement of eConsult telemedicine services for consultations between primary care providers and specialty providers.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-23-0014
State: Colorado
Summary: This SPA proposes to amend the language provisions for coverage of selective nonprescription drugs.
Approval Date:
Effective Date:
Topics:
  • Prescribed Drugs
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-22-0036-A
State: Colorado
Summary: This Amendment adds lactation services as a preventive services benefit.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-22-0042
State: Colorado
Summary: This Amendment allows the state to authorize additional hours for Private Duty Nursing Services, up to 23 hours per day, when determined medically necessary.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CO-22-0044
State: Colorado
Summary: This Amendment adds family-planning-related services to the family planning services coverage page.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT