An official website of the State of Oregon
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Oregon posts its plans on this website for informational purposes only. They are not legally binding, will not contain any pending State Plan Amendment (SPA) information, and are only current relative to the date on the title page. The
CMS Region 10 office in Seattle, Washington, maintains our official plans.
When a state wants to change any of the Medicaid/CHIP benefits it offers or change the way in which services are offered, it must submit a State Plan Amendment. The following SPAs are currently at CMS review.
Under Section 1902 of the Social Security Act, all states must comply with some basic requirements. For example, each state must:
A State Plan outlines how each state will meet these requirements. Once CMS approves the original Plan, they must also approve all future changes to the Plan before any changes become effective. A state can also request CMS to waive certain federal requirements to allow greater flexibility or expand the Medicaid populations it serves. The CMS website provides more information about Medicaid and CHIP State Plans and Medicaid demonstration waivers.
When a state wants to change any of the Medicaid benefits it offers, or change the way in which services are offered, it must submit a State Plan Amendment (SPA).
Once the CMS Regional Office receives a SPA, it has 90 calendar days to approve or deny the SPA, or send a formal Request for Additional Information (RAI) letter. Sending an RAI stops the 90-day clock.
The clock will not start again until CMS receives the state's written response to the RAI. Another 90-day clock starts at this point.
Throughout this process, CMS has the option of asking informal questions via email or phone.
Once CMS approves a SPA, the changes can take effect retroactive to the first day of the quarter of the federal fiscal year in which the SPA was submitted. These procedures can make the SPA approval process quite lengthy.
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