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This page lists State Plan Amendments (SPAs) to the Medicaid State Plan that have been submitted to the Centers for
Medicare and Medicaid Services (CMS) regarding the implementation of the Affordable Care Act (ACA). If the
SPA was approved by CMS, the approval letter is provided. For a complete list of future amendments regarding
implementation, please click the link below.
Future State Plan Amendments
SPA 13-005 – Eligibility Process
Single streamlined application or alternative, Renewals, Coordination for enrollment and eligibility (agreements with Exchanges)