Approved SPAs

These state plan amendments (SPAs) have been approved by the Centers for Medicare and Medicaid Services.  These approvals allow the Department of Medical Assistance Services to make changes to programs, policies, or operational approaches, or to make corrections or updates.

Approved SPA Number Title Approval Date
SPA 20-001 CHIP Disaster Relief   05.08.2020
SPA 20-002 Electronic Visit Verification   10.06.2020
SPA 20-003 Recovery Audit Contractor - Exemption   06.12.2020
SPA 20-006 Average Commercial Rate for Physicians Affiliated with Type 1 Hospitals   07.31.2020
SPA 20-008 ARTS Updates   11.10.2020
SPA 20-011 Clarifications for Durable Medical Equipment and Supplies   10.20.2020
SPA 20-012 Emergency Room Claims   12.22.2021
SPA 20-013 2020 Provider Reimbursement Changes - Institutional   12.02.2020
SPA 20-014 2020 Provider Reimbursement Changes - Non-Institutional   11.22.2020
SPA 20-015 CHIP SPA - SUPPORT Act   07.26.2022
SPA 20-016 Dental Fee Schedule Update   09.02.2020
SPA 20-017 Home Health Update   10.29.2020
SPA 20-018 90-Day Prescriptions   12.10.2020
SPA 20-020 Hospital Readmissions   12.22.2021
SPA 21-001 Enhanced Behavioral Health - Part 1   06.14.2021
SPA 21-002 Removal of the 21 Out of 60 Day Limit   07.02.2021
SPA 21-003 Personal Care Rate Increase and Consumer-Directed Overtime   06.16.2021
SPA 21-005 Removal of 40 Quarters Requirements   04.16.2021
SPA 21-006 Adult Dental   06.14.2021
SPA 21-007 Tribal Health Clinic   06.22.2021
SPA 21-008 Coverage of Mandatory Medication Assisted Treatment   06.02.2021
SPA 21-009 Excess Resource Limits - SPA not submitted to CMS   04.12.2021
SPA 21-010 CHIP SPA - Health Services Initiative - Poison Control Centers   06.24.2021
SPA 21-011 Tribal Consultation   06.07.2021
SPA 21-012 Repeal of Commonwealth Coordinated Care Program   06.25.2021
SPA 21-013 Doula Services   10.29.2021
SPA 21-014 12-Month Contraception and Participation in the National Rebate Pool   08.18.2021
SPA 21-015 Institutional Provider Reimbursement Changes   09.24.2021
SPA 21-015 Technical Correction to SPA 21-015   12.08.2021
SPA 21-016 Non-Institutional Provider Reimbursement Changes   09.15.2021
SPA 21-017 School Services   09.25.2023
SPA 21-018 Office-Based Opioid Treatment Changed to Office-Based Addiction Treatment   10.14.2021
SPA 21-020 DSH Changes for Children's Hospitals   08.24.2021
SPA 21-021 CHIP SPA - MMDL - FAMIS Prenatal Coverage   08.05.2021
SPA 21-023 Enhanced Behavioral Health - Part 2   12.15.2021
SPA 21-024 Pharmacy-Administered Vaccines   11.23.2021
SPA 21-025 Prescription Monitoring Program - CMS Withdrawal Letter   08.24.2021
SPA 21-026 EVMS Supplemental Payments   12.14.2021
SPA 21-027 CHIP SPA - FAMIS Prenatal Coverage   08.05.2021
SPA 21-028 Sick Leave, Overtime, and Private Duty Nursing Rate Increase   12.08.2021
SPA 21-029 2021 Disaster Relief SPA   12.21.2021
SPA 21-031 Removal of Outdated SUD, BH, and ID Case Management Utilization Review Language   12.14.2021
SPA 21-032 Personal Care Rate Increase   04.28.2022
SPA 22-001 Medicaid Application   01.09.2023
SPA 22-002 Non-Emergency Medical Transportation   03.07.2022
SPA 22-003 Addiction Recovery Treatment Services   03.15.2022
SPA 22-004 Program of All-Inclusive Care for the Elderly   04.26.2022
SPA 22-006 COVID Vaccines, Testing, and Treatment   11.30.2022
SPA 22-007 Nursing Facility Value-Based Purchasing Program   10.25.2022
SPA 22-008 Remove Limit on Mental Health & Substance Use Disorder Case Management   05.16.2022
SPA 22-009 Clinical Trials   04.07.2022
SPA 22-010 CHIP SPA - COVID-19 Testing, Treatment, and Vaccinations   04.22.2022
SPA 22-011 CHIP SPA - BRAVO - Enhanced BH   07.26.2022
SPA 22-012 Expansion ABP - Clinical Trials Updates   04.21.2022
SPA 22-013 Medicaid Works ABP - Clinical Trials Updates   04.21.2022
SPA 22-014 Third Party Liability Update   07.26.2022
SPA 22-016 Disaster Relief SPA   06.03.2022
SPA 22-017 Institutional Provider Reimbursement Changes   12.06.2022
SPA 22-018 2022 Non-Institutional Provider Reimbursement Changes   03.13.2023
SPA 22-019 Recovery Audit Contractor (RAC) - Exemption Request   08.29.2022
SPA 22-020 Withdrawal of SPA 22-020 Anesthesia for Children's Dental Procedures   10.11.2022
SPA 22-021 CHIP SPA - FAMIS Co-pays   12.23.2022
SPA 22-022 Preventive Services   12.07.2022
SPA 23-002 Program of All-Inclusive Care for the Elderly   04.27.2023
SPA 23-003 Former Foster Care Youth   05.31.2023
SPA 23-004 Resource Disregards   05.02.2023
SPA 23-005 Disaster Relief SPA   02.01.2023
SPA 23-006 OTC Drugs   05.18.2023
SPA 23-007 State Based Exchange   08.07.2023
SPA 23-008 Targeted Case Management for Persons with Traumatic Brain Injury   11.22.2023
SPA 23-009 Removal of DATA Waiver (X-Waiver)   09.22.2023
SPA 23-010 Average Commercial Rate for Physicians Affiliated with Type 1 Hospitals   05.19.2023
SPA 23-012 Electronic Visit Verification (EVV) for Home Health Services   10.26.2023
SPA 23-013 Case Management for Assisted Living Facility Residents   09.11.2024
SPA 23-014 Pharmacists as Providers   12.20.2023
SPA 23-016 Supplemental Payments for Services Provided by Physicians at Freestanding Children’s Hospitals   10.19.2023
SPA 23-017 Nursing Facility Value-Based Purchasing Program   11.08.2023
SPA 23-018 Emergency Room Charges   01.12.2024
SPA 23-020 Preventive Services   01.22.2024
SPA 23-027 CHIP SPA - Federally Required Vaccine Assurances   02.20.2024
SPA 24-001 Dental Updates   04.03.2024
SPA 24-002 12-Month Continuous Eligibility for Children   04.19.2024
SPA 24-003 Non-Institutional Provider Reimbursement Changes   03.05.2024
SPA 24-004 Medicaid Works   04.04.2024
SPA 24-005 Other Licensed Practitioners   05.14.2024
SPA-24-006 CHIP SPA – 12-Month Continuous Eligibility   07.18.2024
SPA 24-007 Core Set Mandatory Reporting   11.01.2024
SPA 24-008 Removal of Duplicative Language   07.18.2024
SPA 24-009 Supplemental Payments to Private Hospitals for Physician Services   04.17.2026
SPA 24-010 Brain Injury Services Targeted Case Management   05.17.2024
SPA 24-011 SSDI Disregard   09.13.2024
SPA 24-012 CHIP SPA – Benefits and Technical Changes   09.05.2024
SPA 24-013 Nursing Facility Value-Based Purchasing Program   10.07.2024
SPA 24-015 EPSDT Therapeutic Group Homes   09.05.2024
SPA 24-017 2024 Institutional Provider Reimbursement Changes   10.09.2024
SPA 24-018 2024 Non-Institutional Provider Reimbursement Change   12.17.2024
SPA 24-020 Supplemental Payments for Acute Care Hospital Chain with Level One Trauma Center   01.06.2025
SPA 24-021 Licensed Behavior Analysts — Credentialed Addiction Treatment Professionals   09.11.2024
SPA 24-023 Provider Appeals Updates    03.27.2025
SPA 24-025 Recovery Audit Contractor (RAC) - Exemption Request   11.25.2024
SPA 25-002 Requirements for Medicaid Consumer-Directed Facilitators   08.05.2025
SPA 25-003 Withdrawal of SPA 25-003 Opioid Use Disorder   04.10.2025
SPA 25-004 Update to Non-Covered Drugs   06.11.2025
SPA 25-005 Youth Reentry   07.21.2025
SPA-25-008 CHIP Technical Changes   09.12.2025
SPA 25-009 Reentry Targeted Case Management   05.21.2026
SPA 25-013 Third Party Liability   10.31.2025
SPA 25-016 Patient Pay Deductions   03.11.2026
SPA 25-020 Repeal of Nursing Facility-Specific Drug Utilization Review and Updates to Nursing Facility Survey and Certification   01.26.2026
SPA 25-021 Pharmacy and Therapeutics Committee   10.27.2025
SPA 25-022 Update to the Medication Assisted Treatment (MAT) Benefit   01.14.2026
SPA 25-025 Repeal Out-of-Date Advance Directives Language   02.02.2026
SPA 25-026 Repeal of Increased Primary Care Service Payments   03.25.2026
SPA 26-002 Update to Income and Eligibility Verification System Procedures   05.13.2026