Arizona Medicaid 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). If the SPA was approved by CMS, the approval letter is provided.


2014 Amendments

SPA 14-012 - GME
Updates GME funding for the service period July 1, 2014 through June 30, 2015 for programs with submitted IGAs.

SPA 14-011 - Third Party Liability
Updates the State Plan to reflect changes to Third Party Liability.

SPA 14-010 – Insulin Pumps
Updates the ABP and State Plan to include insulin pumps as a covered benefit.

SPA 14-009 – APR-DRG
Describes the All Patient Refined Diagnosis Relation Group hospital reimbursement methodology in the State Plan for Inpatient dates of service on and after October 1, 2014.

SPA 14-008 – Presumptive Eligibility
Describes Presumptive Eligibility by Hospitals in Arizona.

SPA 14-007 – Barbiturates, Benzodiazepines and Tobacco Cessation
Updates the State Plan to remove barbiturates, benzodiazepines and agents used to promote tobacco cessation otherwise covered by Medicare Part D.

SPA 14-006 – Alternative Benefit Plan (ABP)
Aligns the ABP benefits for individuals enrolled in the new Adult Group with the current State Plan. In Arizona, the new Adult Group includes childless adults 0-100% FPL and adults without Medicare that are 100-133% FPL.

SPA 14-005 – Medicaid Administration
Addresses single state agencies delegation of appeals and determinations.

SPA 14-004 – Therapies
Revises the State Plan to reflect updates to therapies covered under the State Plan.

SPA 14-003 – Medically Preferred Treatment Options
Revises the State Plan to reflect updates to the orthotic benefit.

SPA 14-002 – Coverage for over-the-counter or non-prescription medication
Updates the State Plan to comprehensively describe coverage for over-the-counter or non-prescription medication.

SPA 14-001 – ADHS Licensure Changes
Revises the State Plan to reflect updates to the licensing of health programs.



For questions about the State Plan, call or write the Office of Intergovernmental Relations:

  • Call: 602-417-4534
  • Write:
    Arizona Health Care Cost Containment System (AHCCCS)
    ATTN: Office of Intergovernmental Relations
    801 E. Jefferson St, MD 4200
    Phoenix, AZ 85034


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