SPAs Filed with CMS

When the Department of Medical Assistance Services (DMAS) is planning to make a change to its program policies or operational approach, it sends a state plan amendment (SPA) to the Centers for Medicare & Medicaid Services for review and approval. DMAS also submits SPAs to request permissible program changes, make corrections, or update their Medicaid state plan with new information.

SPA Number Title Date Filed
SPA 21-001 Enhanced BH FINAL   03.25.2021
SPA 21-002 Removal of 21 out of 60 Day Limit FINAL   04.07.2021
SPA 21-003 Personal Care Rate Inc & C-D Overtime   05.18.2021
SPA 21-004 Clarifications of DME Revisions FINAL   03.23.2021
SPA 21-005 Removal of 40 Quarters Requirements   01.20.2021
SPA 21-006 FINAL Adult Dental SPA   03.25.2021
SPA 21-007 Tribal Health Clinic FINAL   03.26.2021
SPA 21-008 Coverage of Mandatory MAT FINAL   03.25.2021
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   05.04.2021
SPA 21-011 Tribal Consultation FINAL   04.23.2021
SPA 21-012 Repeal of CCC Program   05.18.2021
SPA 21-013 Doula Services   08.24.2021
SPA 21-014 12-Month Contraception and NMPI FINAL   06.14.2021
SPA 21-015 Institutional Provider Reimbursement Changes   06.28.2021
SPA 21-016 Non-Institutional Provider Reimbursement Changes   06.21.2021
SPA 21-017 School Services   10.18.2021
SPA 21-018 Opioid Treatment to Addiction Treatment   07.23.2021
SPA 21-019 COVID Vaccine Administration Fee FINAL   06.01.2021
SPA 21-020 DSH Changes for Children's Hospitals   06.07.2021
SPA 21-021 CHIP SPA - MMDL - FAMIS Prenatal Coverage   07.12.2021
SPA 21-022 COVID Vaccine for Plan First   06.21.2021
SPA 21-023 Enhanced Behavioral Health, Part 2   10.13.2021
SPA 21-024 Pharmacy-Administered Vaccines   09.02.2021
SPA 21-025 Prescription Monitoring Program   08.07.2021
SPA 21-026 EVMS Supplemental Payments   09.27.2021
SPA 21-027 CHIP SPA - FAMIS Prenatal Coverage   07.12.2021
SPA 21-028 Sick Leave, Overtime, and Private Duty Nursing Rate Increase   09.15.2021
SPA 21-029 2021 Disaster Relief SPA   09.27.2021
SPA 21-031 Removal of Outdated SUD, BH, and ID Case Management Utilization Review Language   11.30.2021
SPA 21-032 Personal Care Rate Increase   12.13.2021
SPA 22-001 Application SPA   08.25.2022
SPA 22-002 Non-Emergency Medical Transportation   02.08.2022
SPA 22-003 Addiction Recovery Treatment Services   02.14.2022
SPA 22-004 Program of All-Inclusive Care for the Elderly   03.03.2022
SPA 22-006 COVID Vaccines, Testing, and Treatment   05.13.2022
SPA 22-007 Nursing Facility Value-Based Purchasing Program   08.15.2022
SPA 22-008 Remove Limit on Mental Health & Substance Use Disorder Case Management   03.31.2022
SPA 22-009 Clinical Trials   03.28.2022
SPA 22-010 CHIP SPA - COVID-19 Testing, Treatment, and Vaccinations   04.11.2022
SPA 22-011 CHIP SPA - BRAVO - Enhanced BH   06.07.2022
SPA 22-012 Expansion ABP - Clinical Trials Updates   03.28.2022
SPA 22-013 Medicaid Works ABP - Clinical Trials Updates   03.28.2022
SPA 22-014 Third Party Liability Update   06.27.2022
SPA 22-016 Disaster Relief SPA   04.25.2022
SPA 22-017 Institutional Provider Reimbursement Changes   09.02.2022
SPA 22-018 2022 Non-Institutional Provider Reimbursement Changes   09.19.2022
SPA 22-019 Recovery Audit Contractor (RAC) - Exemption Request   08.08.2022
SPA 22-020 Anesthesia for Children's Dental Procedures   08.15.2022
SPA 22-021 CHIP SPA - FAMIS Co-Pays   11.04.2022
SPA 22-022 Preventive Services   09.30.2022
SPA 23-001 Medicaid Works   01.17.2023
SPA 23-002 Program of All-Inclusive Care for the Elderly   03.13.2023
SPA 23-003 Former Foster Care Youth   03.09.2023
SPA 23-004 Resource Disregard   02.06.2023
SPA 23-005 Disaster Relief SPA   01.26.2023
SPA 23-006 OTC Drugs   04.24.2023
SPA 23-007 State Based Exchange   05.12.2023
SPA 23-008 Targeted Case Management for Persons with Traumatic Brain Injury   08.30.2023
SPA 23-009 Removal of DATA Waiver (X-Waiver)   06.30.2023
SPA 23-010 Average Commercial Rate for Physicians Affiliated with Type 1 Hospitals   04.14.2023
SPA 23-012 Electronic Visit Verification (EVV) for Home Health Services   08.28.2023
SPA 23-013 Case Management for Assisted Living Facility Residents   07.03.2023
SPA 23-014 Pharmacists as Providers   10.16.2023
SPA 23-015 Third Party Liability   09.01.2023
SPA 23-016 Supplemental Payments for Services Provided by Physicians at Freestanding Children's Hospitals   07.24.2023
SPA 23-017 Nursing Facility Value-Based Purchasing Program   09.18.2023
SPA 23-018 Emergency Room Charges   11.15.2023
SPA 23-020 Preventive Services   12.11.2023
SPA 23-027 CHIP SPA - Federally Required Vaccine Assurances   12.28.2023
SPA 24-001 Dental Updates   01.10.2024
SPA 24-002 Medicaid - 12 Month Continuous Eligibility for Children   02.20.2024
SPA 24-003 Non-Institutional Provider Reimbursement Changes   01.16.2024
SPA 24-004 Medicaid Works   01.08.2024
SPA 24-005 Other Licensed Practitioners   03.20.2024
SPA 24-006 CHIP 12-Month Continuous Eligibility for Children   06.11.2024
SPA 24-007 Core Set Mandatory Reporting   10.17.2024
SPA 24-008 Removal of Duplicative Language   04.29.2024
SPA 24-009 Supplemental Payments to Private Hospitals for Physician Services   11.08.2024
SPA 24-010 Brain Injury Services Targeted Case Management   05.06.2024
SPA 24-011 SSDI Disregard   07.09.2024
SPA 24-012 CHIP Annual SPA   06.28.2024
SPA 24-013 Nursing Facility Value-Based Purchasing Program   08.27.2024
SPA 24-015 EPSDT Therapeutic Group Homes   06.18.2024
SPA 24-017 2024 Institutional Provider Reimbursement Changes   09.09.2024
SPA 24-018 2024 Non-Institutional Provider Reimbursement Changes   09.23.2024
SPA 24-020 Supplemental Payments for Acute Care Hospital Chain with Level One Trauma Center   11.01.2024
SPA 24-021 Licensed Behavior Analyst - Credentialed Addiction Treatment Professionals   09.04.2024
SPA 24-025 Recovery Audit Contractor–Exemption Request   11.08.2024
SPA 24-023 Provider Appeals Updates   11.18.2024
SPA 25-002 Requirements for Medicaid Consumer-Directed Facilitators   07.11.2025
SPA 25-003 Opioid Use Disorder   03.04.2025
SPA 25-004 Update to Non-Covered Drugs   03.28.2025
SPA 25-005 Youth Reentry   03.28.2025
SPA 25-006 Clinic Services   05.15.2025
SPA 25-007 Tribal Provider Reimbursement   05.15.2025
SPA 25-008 CHIP Annual SPA   06.23.2025
SPA 25-009 Reentry Targeted Case Management   09.08.2025
SPA 25-010 2025 Non-Institutional Provider Reimbursement Changes   09.08.2025
SPA 25-011 2025 Institutional Provider Reimbursement Changes   09.12.2025
SPA 25-012 Applicability of the OMB Outpatient All-Inclusive Rate (AIR)   07.07.2025
SPA 25-013 Third Party Liability   08.12.2025
SPA 25-015 CHIP Youth Re-Entry SPA   06.24.2025
SPA 25-016 Patient Pay Deductions   08.11.2025
SPA 25-019 Nursing Facility Reimbursement Methodology   12.23.2025
SPA 25-020 Repeal of Nursing Facility-Specific Drug Utilization Review and Updates to Nursing Facility Survey and Certification   10.31.2025
SPA 25-021 Pharmacy and Therapeutics Committee   09.18.2025
SPA 25-022 Update to the Medication Assisted Treatment (MAT) Benefit   12.17.2025
SPA 25-025 Repeal Out-of-Date Advance Directives Language   12.30.2025
SPA 25-026 Repeal of Increased Primary Care Service Payments   12.30.2025
SPA 26-002 Update to Income and Eligibility Verification System Procedures   04.14.2026