Proposed State Plan Amendments
Proposed SPAs which would change statewide methods and standards for Medicaid payment rates. All of these SPAs require a Public Notice prior to submission to CMS. This page provides a link to all SPA Public Notices within the past two years. Once these SPAs are submitted to or approved by CMS they are also posted in the pending or approved SPAs pages linked below. For some SPAs, the state must also submit its most recent access monitoring review plan. Please visit this webpage for the access monitoring review plan.
NOTE: Some links on this page are documents in Adobe Acrobat Portable Document Format (PDF). PDF documents require Adobe Reader.