Skip to main navigation Skip to main content

​The documents listed below are amendments to the Medicaid state plan and have been submitted to the Centers for Medicare and Medicaid Services for approval. These state plan amendments are in draft form only.

Disclaimer: Any state plan amendment with pending status is subject to change prior to approval by CMS and should not be considered the final submission.

Please Note: All manuals and materials are in PDF format and require a PDF reader, like Adobe Acrobat, to view the information.


  • Approved - accepted by CMS
  • Off the Clock - CMS and DMS have agreed to let DMS resolve significant issues that would go beyond the 90-day clock.
  • Pending - amendment has been submitted to CMS and is under review for approval.

SPA #DownloadStatus
18-00011Appointing Carol SteckelApproved
18-0002Physical Therapy, Occupational Therapy and Speech Therapy LimitApproved
18-0003Former Foster ChildrenApproved
18-0005TBI RateApproved
18-0007Tobacco CessationApproved
18-0008Appointing Jill R. Hunter as CommissionerApproved