Medicaid State Plan Documents

Table of Contents (PDF)

Index (PDF)

• Pages 1-33 (PDF)
• Pages 34-66 (PDF)
• Pages 67-end (PDF)

Attachments and Supplements

• Section 1 Single State Agency Organization
• Section 2 Coverage and Eligibility
• Section 3 General Provisions
• Section 4 General Program Administration
• Section 5 Personnel Administration
• Section 6 Financial Administration (there are no attachments for this section)
• Section 7 General Provision

Electronic Submissions

This includes forms electronically submitted to the Centers for Medicare & Medicaid Services that are referenced by, but not included in, the traditional Medicaid State Plan.

• Medicaid Model Data Lab (MMDL) Forms
• MACPro Forms