Medicaid State Plan Amendments

This plan amendment updates the Disproportionate Share Hospital payment time period to the current fiscal year, the fiscal year amount, and the payment frequency.

This plan amendment titled, "Disproportionate Share Hospital (DSH) Payment Adjustments” updates the payment amounts to be made for State Fiscal Year 2025 to non-public hospitals that qualify for DSH payment adjustments under the New Hampshire State Plan provisions governing inpatient hospital services payments.

This amendment make requirements for Indian Health Services and Tribal clinics consistent with the requirements set forth in 42 Code of Federal Regulations §440.90. The SPA requires a mandatory exception to the four-wall requirement for the Medicaid clinic services benefit to authorize reimbursement for clinic services provided outside of the four walls of Indian Health Services and Tribal clinics.

This plan amendment titled, "Nursing Facility MQIP for Dates of Service April through June 2025" updates the quarterly pool amount and total Medicaid day count for New Hampshire’s nursing facility supplemental payment, also known as MQIP, for both private and non-state government owned and operated facilities.

This amendment updates Florida’s personal care benefit for home health agencies and terminology for excluding care provided by legally responsible adults for beneficiaries under 21 years of age.

This amendment covers peer support services and a rate increase for Community Mental Health Centers and Substance Use Disorder Agency services.

This amendment proposes to provide additional postpartum visits with a recommendation by a practitioner or clinician licensed under Title 24 acting within their scope of practice.

This SPA updates the payment methodology for physician administered drugs and high investment medications.

This plan amendment updates the supplemental payment amounts for inpatient and nursing facilities.

This plan amendment adds language to the Medicaid State Plan regarding lactation counseling services for pregnant and postpartum individuals.