U.S. flag

An official website of the United States government

Medicaid SPA Processing Tools for States

As part of a strategy to increase transparency, enhance efficiency, and reduce burden for States in the review and approval process of State Plan Amendments, CMS committed to providing a tool kit to assist States in the development of complete submissions, and facilitate quicker adjudication of SPAs. This page provides a collection of existing preprints, templates, checklists and other existing guidance that will be enhanced as more tools are developed.

Tools for All SPAs

Payment SPA Tools

Eligibility and Administration SPA Tools

Premiums and Cost-Sharing SPA Tools

SPA templates and implementation guides for Medicaid Premiums & Cost Sharing SPAs are no longer housed in MMDL and are now located under the following subheadings on the One Medicaid and CHIP Program System (OneMAC) FAQ page, located at https://onemac.cms.gov/FAQ:

  • Where can I download Medicaid Medicaid Premiums and Cost Sharing SPA templates?
  • Where can I download Medicaid Medicaid Premiums and Cost Sharing implementation guides?

Note: The OneMAC FAQ page includes a new General Information SPA template that states must now upload into OneMAC for Medicaid Premiums & Cost Sharing SPAs. This General Information SPA template represents information states previously entered on MMDL screens.

Pharmacy SPA Tools

Home and Community Based Services SPA Tools

Benefits and Coverage SPA Tools

Coverage of Services for Eligible Juveniles who are Inmates of a Public Institution

Coverage of Routine Patient Cost in Qualifying Clinical Trials - Consolidated Appropriations Act

Coverage of New Mandatory Benefits Under Section 9811 of the American Rescue Plan (ARP)

Mandatory MAT Tools-SUPPORT Act Section 1006(b)

Alternative Benefit Plan Tools

SPA templates and implementation guides for Alternative Benefit Plan (ABP) SPAs are no longer housed in MMDL and are now located under the following subheadings on the One Medicaid and CHIP Program System (OneMAC) FAQ page, located at https://onemac.cms.gov/FAQ:

  • Where can I download Medicaid Alternative Benefit Plan (ABP) SPA templates?
  • Where can I download Medicaid Alternative Benefit Plan (ABP) SPA implementation guides?

Note: The OneMAC FAQ page includes a new General Information SPA template that states must now upload into OneMAC for ABP SPAs. This General Information SPA template represents information states previously entered on MMDL screens.

Other Benefit SPA Tools

Integrated Care SPA Tools (Managed Care, PACE and Health Homes)