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.


2015 Amendments

SPA 15-007 – APR DRG
Updates DRG for the DCI and transition adjustment factors as of October 1, 2015.

SPA 15-006 – Graduate Medical Education 2016
Updates funding for GME programs for the service period July 1, 2015, through June 30, 2016 for programs with submitted IGAs.

SPA 15-005-D – Nursing Facility Rates
Updates reimbursement rates for Nursing Facilities the period October 1, 2015 to September 30, 2016 and permanently removes the automatic inflation factor beginning October 1, 2015.

SPA 15-005-C – Other Provider Rates
Updates rates for other provider services as of October 1, 2015.

SPA 15-005-B – Outpatient Rates
Updates rates for outpatient services as of October 1, 2015.

SPA 15-005-A – Freestanding Psychiatric Hospital Rates
Updates the rates for freestanding psychiatric hospitals as of October 1, 2015.

SPA 15-004 - Ambulance Rates
Updates Ambulance Rates in the State Plan.

SPA 15-003 - Orthotics
Updates the State Plan to reflect updates to the orthotic benefit.

SPA 15-002 – Nursing Facility Assessment
Updates the Nursing Facility assessment dollar amounts in State Plan.

SPA 15-001 – Supplemental Drug Rebates
Updates the State Plan to include supplemental drug rebates effective January 1, 2015.



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

  • 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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