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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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Transmittal Number: KS-21-0020
State: Kansas
Summary: This amendment proposes revisions to bring Kansas' State Plan into compliance with recent guidance requiring states to assure necessary transportation for beneficiaries to and from covered services
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Financing & Reimbursement
Links:
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Transmittal Number: IN-21-0015
State: Indiana
Summary: This amendment modifed the Medicaid Rehabilitation Option (MRO) service requirements to allow other behavioral health professionals to provide MRO services, within their scope of practice and licensure, and to allow certain MRO services to be provided concurrently with other addiction treatment services.
Approval Date:
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Topics:
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MT-21-0017
State: Montana
Summary: The EPSDT Medicaid State Plan will be amended to update the of the fee schedule to implement a revised fee schedule, which reflects updated reimbursements rates for all services
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
    SHARE THIS MEDICAID STATE PLAN AMENDMENT
    Transmittal Number: AR-21-0009
    State: Arkansas
    Summary: This SPA proposes to clarify and expand the prescription limitations in the Arkansas Medicaid Program.
    Approval Date:
    Effective Date:
    Topics:
    • Coverage
    • Prescribed Drugs
    • Prescription Limitations
    Links:
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    Transmittal Number: CA-21-0058
    State: California
    Summary: Adds drug Medi-Cal Delivery Services expanded substance use disorder treatment services to the Medicaid State Plan
    Approval Date:
    Effective Date:
    Topics:
    • Coverage
    Links:
    SHARE THIS MEDICAID STATE PLAN AMENDMENT
    Transmittal Number: CA-20-0006-A
    State: California
    Summary: Makes updates to the substance use disorder treatment services provided under the

    rehabilitation services benefit. The SPA adds peer support services, modifies SUD crisis

    intervention services, and revises the provider qualifications.

     
    Approval Date:
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    Topics:
    • Coverage
    • Financing & Reimbursement
    Links:
    SHARE THIS MEDICAID STATE PLAN AMENDMENT
    Transmittal Number: PA-21-0017
    State: Pennsylvania
    Summary: Certification requirements and delivery methods for Orientation and Mobility Specialists within School-Based Services are being updated within the State Plan.
    Approval Date:
    Effective Date:
    Topics:
    • Coverage
    Links:
    SHARE THIS MEDICAID STATE PLAN AMENDMENT
    Transmittal Number: MO-21-0031
    State: Missouri
    Summary: This SPA was submitted to add an Alternative Benefit Plan (ABP) to Missouri's State Plan to cover the Medicaid Expansion Population
    Approval Date:
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    Topics:
    • Coverage
    Links:
    SHARE THIS MEDICAID STATE PLAN AMENDMENT
    Transmittal Number: MI-21-1002
    State: Michigan
    Summary: SPA establishes Alternative Benefit Plan(ABP) MI uses to implement requirements of the Healthy Michigan Plan(HMP) as stated in MI's PA 107 of 2013.
    Approval Date:
    Effective Date:
    Topics:
    • Coverage
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    SHARE THIS MEDICAID STATE PLAN AMENDMENT
    Transmittal Number: MT-21-0020
    State: Montana
    Summary: revises the coverage location of Applied Behavior Analysis (ABA) services in the state plan, clarifies that ABA services are provided for individuals under the age of 21 pursuant to EPSDT, clarifies the qualified practitioners that can furnish ABA services in Montana, and makes conforming changes to the corresponding reimbursement pages.
    Approval Date:
    Effective Date:
    Topics:
    • Coverage
    Links:
    SHARE THIS MEDICAID STATE PLAN AMENDMENT