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State Plan Amendment Updates

The Medicaid and Children's Health Insurance Program State Plans are Indiana's agreements with the federal government as to the design and operation of the Medicaid and CHIP programs, respectively. Indiana amends the state plans in order to inform the Centers for Medicare and Medicaid Services of programmatic and financing changes and to secure legal authority for those changes, which ensures continued federal funding. Pursuant to IC 12-15-1.3-17.5, OMPP also submits state plan amendments to the State Budget Committee for review.  Below are pending Medicaid and CHIP State Plan Amendments as well as links to state and federal resources for historical purposes. For additional questions, please email SPAcomment@fssa.in.gov.

Indiana State Plan

Public Notices

Submitted State Plan Amendments

Submitted State Plan Amendments are amendments that are submitted to CMS but have not yet been approved and are still in progress.

  • Out of State Children’s Hospital SPA (submitted 9/29/25)
  • Direct Care Percentile & Transportation Limitation SPA(submitted 8/5/25)
  • Minimum Data Set Alignment SPA (submitted 9/29/25)

Resources

Juvenile Involved Justice Webinar

CMS' repository of Indiana Medicaid State Plan Amendments  

CMS' repository of Indiana Children's Health Insurance Program State Plan Amendments