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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 291 results
Transmittal Number: ND-25-0005
State: North Dakota
Summary: This amendment updates the recipient and provider qualifications for Target Case Management (TCM) for individuals with a behavioral health condition.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
  • Coverage
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-25-0008
State: Connecticut
Summary: This amendment extends coverage to members residing in a broader geographic area that qualify for Target Case Management (TCM) benefits for Integrated Care for Kids (InCK) in New Haven, Connecticut.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-24-0025
State: Vermont
Summary: This amendment proposes to add coverage for Post Permanency Supports Targeted Case Management for children whose families are formed through adoption and guardianship in Vermont.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-24-0023
State: Oregon
Summary: This amendment is to expand the Targeted Case Management Family Connects Nurse Home Visiting program into Polk and Yamhill County.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: OR-24-0022
State: Oregon
Summary: This amendment is to expand the Targeted Case Management Family Connects Nurse Home Visiting program into Lane County.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MI-24-1003
State: Michigan
Summary: This amendment provides authority to cover targeted case management services for recuperative care.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MI-24-0004
State: Michigan
Summary: Provides authority to cover targeted case management services for Children’s Special Health Care Services (CSHCS) beneficiaries under 21 years of age with qualifying medical complexity.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MI-24-0006
State: Michigan
Summary: Covers targeted case management for children, youth, and young adults ages 0-21 with either a serious mental illness (SMI), serious emotional disturbance (SED), or intellectual/developmental disability (I/DD), and their families.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VA-23-0013
State: Virginia
Summary: Removes outdated case management language for assisted living facility residents.
Approval Date:
Effective Date:
Topics:
  • Targeted Case Management
Links:
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Transmittal Number: MT-24-0017
State: Montana
Summary: This amendment is to extend the time frame for Targeted Case Management (TCM) for pregnant individuals receiving services after the end of their pregnancy to 12 months to align with the state’s extended eligibility coverage of 12 months post-partum for Medicaid-eligible pregnant individuals. 
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Targeted Case Management
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT