Proposed State Plan Amendments (SPAs)
Back to California's Medicaid State Plan Main Page
Certain SPAs propose to change statewide methods and standards for Medicaid payment rates, and these SPAs require a Public Notice prior to submission to CMS. This page provides a link to all SPA Public Notices within the past three years. Once these SPAs are submitted to or approved by CMS they are also posted in the pending or approved SPAs pages. 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.
