Purpose of the SPA is to align state plan authority for managed care, with the 1915(b) amendment approved on August 25, 2015. SPA No. 15-0004 requires mandatory enrollment into physical health for children with special healthcare needs eligible through a subsidized adoption; individuals eligible for coverage through the Breast and Cervical Cancer Prevention program, and carves in hospice services and non-emergency transportation provided by ambulances into the physical health benefits package for the special needs children and American Indians/Alaskan Native populations. The SPA notes that effective July 1, 2015, the MCO contracts awarded effective July 1, 2015, were procured through sole sourcing. Lastly, this SPA updated language that references "mental retardation" to now reflect "intellectual disability".
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File 1 - Approval Document Media