Medicaid State Plan Amendments

This plan amendment increases the High Medicaid Volume Safety Net Hospital Supplemental Payment by $20 million for inpatient acute hospital services in rate year 2025.

This plan amendment updates reimbursement for outpatient or professional claims to be allowed if billed by a provider other than the admitting inpatient hospital.

This amendment is to provide for mandatory coverage in accordance with section 1902(a)(84)(D) of the Social Security Act (the Act) for eligible juveniles who are incarcerated in a public institution post-adjudication of charges.

This State Plan Amendment attests to the state's compliance with the third-party liability requirements in Section 1902(a)(25)(1) of the Social Security Act.

This amendment proposed to disregard from countable resources certain Medicare premium refunds.

This plan amendment updates the rates for noninstitutional outpatient services, maternal and child health services, primary care, behavioral health services, and other services and adds a supplemental payment for institutional services for intermediate care facilities.

Through June 2025, this amendment extends funding for ARPA Spending Plan Supplemental Payments and limits the final quarter’s supplemental payment to no less than 0 percent and no greater than 5 percent, effective June 2, 2025

The amendment is to update the Care Plus Alternative Benefit Plan (ABP) to add licensed mental health counselors and licensed marriage and family therapists to the other practitioners’ service provider type.

This amendment is to provide for mandatory coverage in accordance with section 1902(a)(84)(D) of the Social Security Act (the Act) for eligible juveniles that are incarcerated in a public institution post-adjudication of charges.

The proposed amendment updates the Ambulatory Surgical Center reimbursement fee schedule.