Medicaid State Plan Amendments

This plan amendment updates the Clinical Diagnostic Laboratory Services fee schedules (CDL), and removes language related to COVID-19 lab rates that is no longer relevant.

This amendment is to update State Plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.

This plan amendment increased the rate for children’s foster care under the 1915(k) state plan option.

This plan amendment updated the fee schedule effective dates for several Medicaid programs and services.

This plan amendment establishes a new class of disproportionate share hospital (DSH) payments to qualifying Medical Assistance (MA) enrolled acute care general hospitals to promote access to comprehensive inpatient services for MA eligible persons.

The amendment is to update Core Set Reporting assurance language.

This plan amendment proposes to move away from cost-based reimbursement for Accredited Residential Treatment Centers for Adults with Substance Use Disorders (AARTCs) services and instead proposes a prospective fee schedule system.

This plan amendment updates Psychiatric Collaborative Care services.

This amendment makes a technical change to update references to a 60-day postpartum period to a 12-month postpartum period in Pennsylvania's Medicaid State Plan. This technical change reflects the coverage individuals are currently and have been receiving since April 1, 2022, when Pennsylvania opted to provide coverage for a 12-month postpartum period.

This amendment is to modify its Medically Needy Income Levels and confirm the new income standards for its optional state supplement program, beneficiaries of which are eligible for Medicaid under Rhode Island's state plan.