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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 211 to 220 of 256 results
Transmittal Number: MD-18-0005
State: Maryland
Summary: This moves the Family Planning Program into the Maryland State Plan and expands program eligibility. This amendment would allow individuals of any age, with income at or below 259 percent of the federal poverty level, to qualify for Maryland's Family Planning Program.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Financing & Reimbursement
Links:
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Transmittal Number: MA-18-025
State: Massachusetts
Summary: Revise your approved Title XIX State plan to waive the Recovery Audit Contractor (RAC) program requirements.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: OR-18-0007
State: Oregon
Summary: Updates the state plan to reflect recent changes to the Medicaid unit and organizational structure of the Oregon Health Authority.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
Links:
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Transmittal Number: OH-18-026
State: Ohio
Summary: Clarifies State Operated Intermediate Care Facilities for Individuals with Intellectual Disability language.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
Links:
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Transmittal Number: CO-18-0031
State: Colorado
Summary: This removes from the state plan the Accountable Care Collaborative (ACC) and ACC Prime payment reform pilot program.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Financing & Reimbursement
Links:
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Transmittal Number: ME-18-0005
State: Maine
Summary: This amends the State's approved Title XIX State Plan to update telehealth and telemonitoring in the Medicaid State Plan. This SPA is estimated to have no Federal budget impact.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: AZ-18-006
State: Arizona
Summary: This SPA updates the Asset Verification System (AVS) section of the State Plan to reflect Arizona's election to join a consortium of several states to develop an AVS.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
Links:
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Transmittal Number: IL-17-0014
State: Illinois
Summary: Implements health and Homes as authorized under Section 2703 of the Patient Protection and Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: NH-18-002
State: New Hampshire
Summary: This transmits language to amend the NH Title State Plan to include a 1915(i) section in order to provide home and community-based services to children with serious behavioral health issues through a coordinated model.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: OK-18-06
State: Oklahoma
Summary: This amendments updates the State's Early and Periodic Screening, Diagnostic and Treatment (EPSDT) periodicity schedule.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT