Medicaid State Plan Amendments

This amendment proposed to memorialize its new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Maine's State Plan.

This amendment temporarily suspends beneficiary cost sharing for pharmacy claims with dates of service from February 22, 2024 to June 30, 2024. The terms of this State Plan Amendment sunset at midnight on June 30, 2024.

This amendment makes changes to update the reimbursement language for Independent Laboratories.

This amendment establishes coverage and payment provisions for preventive services provided by doulas and lactation consultants under the state plan.

This plan amendment updates rates for Home Care.

Clarifies prior authorization requirements, coverage, and limitations for dental services under the state plan.

This plan amendment updates the inpatient hospital state plan to require that hospitals be located within the State of Wisconsin in order to qualify for payments under the standard Disproportionate Share Hospital (DSH) payment program.

This plan amendment updates the annual nursing home fee-for-service rate.

This plan amendment updates the payment methodology for family planning se1vices paid under the clinic benefit.

This amendment is to establish coverage for doula services as a new reimbursable preventative service for individuals navigating pregnancy-related care adding coverage for lactation provider services as a new reimbursable preventative to increase access to education and management to prevent and solve breastfeeding problems and encourage support to breastfeeding mother-infant.