State Plan Amendments

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

2013 Amendments

SPA 13-005 – Eligibility Process

Single streamlined application or alternative, Renewals, Coordination for enrollment and eligibility (agreements with Exchanges)