Medicaid State Plan Amendments

This SPA assures that data from behavioral health home providers will be included in the state's mandatory core set measure reporting.

This SPA amends the State Plan for coverage of drugs authorized for import by the Food and Drug Administration when medically necessary during drug shortages.

This plan amendment increases the rates for long-acting reversible contraceptive (LARC) devices.

This amendment is to streamline behavioral health workforce credentialing and modifies qualifications for Case Managers I and II.

This amendment allows Mississippi to cover prescribed drugs that are not covered outpatient drugs (including drugs authorized for import by the Food and Drug Administration) when medically necessary during drug shortages.

This amendment allows Oklahoma to cover prescribed drugs that are not covered outpatient drugs (including drugs authorized for import by the Food and Drug Administration) when medically necessary during drug shortages.

This amendment establishes specific guidelines and limitations for the Intensive Outpatient Program (IOP) substance use disorder services.

This plan amendment updates the Medicare Equivalent of the average commercial rate (ACR) ratio and remove other professional practitioners.

This plan amendment reimburses CRNAs at a rate of 100 percent of the allowable for physicians for anesthesia services in collaboration with a licensed medical doctor, osteopathic physician, podiatric physician, or dentist.

This plan amendment changed the reimbursement methodology for publicly owned Ground Emergency Medical Transportation (GEMT) providers from a cost-based reimbursement methodology to a uniform add-on rate.