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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 372 results
Transmittal Number: KS-25-0002
State: Kansas
Summary: This SPA allows Kansas to enter into Value/Outcomes-Based Agreements with drug manufacturers on a voluntary basis.
Approval Date:
Effective Date:
Topics:
  • Value Based Purchasing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NM-24-0012
State: New Mexico
Summary: This SPA allows New Mexico to enter into Value-Based Agreements with drug manufacturers on a voluntary basis.
Approval Date:
Effective Date:
Topics:
  • Value Based Purchasing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AK-24-0011
State: Alaska
Summary: This SPA allows Alaska to enter into value/outcome-based contracts with pharmaceutical manufacturers on a voluntary basis.
Approval Date:
Effective Date:
Topics:
  • Value Based Purchasing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NJ-24-0024
State: New Jersey
Summary: This SPA allows New Jersey to enter into Value-Based Supplemental Rebate Agreements with drug manufacturers on a voluntary basis.
Approval Date:
Effective Date:
Topics:
  • Value Based Purchasing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NV-24-0031
State: Nevada
Summary: This amendment authorizes the state to enter into value-based supplemental drug rebate agreements.
Approval Date:
Effective Date:
Topics:
  • Value Based Purchasing
Links:
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Transmittal Number: SC-24-0026
State: South Carolina
Summary: The purpose of this SPA is to limit the number of managed care plans in the Healthy Connections managed care program to no less than two and no more than four based on analyses of projected enrollees.
Approval Date:
Effective Date:
Topics:
  • Managed Care
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NH-24-0040
State: New Hampshire
Summary: The purpose of this SPA is to correct Attachment 3.1 F, page 9 and reinclude Ticket to Work Basic Group as an eligibility group.
Approval Date:
Effective Date:
Topics:
  • Managed Care
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-24-0031
State: Kansas
Summary: The purpose of this SPA is to remove health homes language from Attachment 3.1F, due to the termination of the Health Homes Asthma and the Health Homes SMI programs.
Approval Date:
Effective Date:
Topics:
  • Managed Care
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WI-24-0019
State: Wisconsin
Summary: This SPA allows Wisconsin to enter into Value-Based Supplemental Rebate Agreements with drug manufacturers on a voluntary basis.
Approval Date:
Effective Date:
Topics:
  • Value Based Purchasing
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VA-24-0025
State: Virginia
Summary: Requests an extension of the current exception from the Recovery Audit Contractor Program.
Approval Date:
Effective Date:
Topics:
  • Managed Care
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT