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 24-008	Removal of Duplicative Language	07.18.2024
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 24-021	Licensed Behavior Analysts — Credentialed Addiction Treatment Professionals	09.11.2024