Medicaid State Plan Amendments

This amendment proposes an exception to the four walls requirement for clinic services provided by Indian Health Service (IHS) or Tribal facilities and for clinic services delivered to an eligible individual who does not reside in a permanent dwelling or does not have a fixed home or mailing address.

This plan amendment makes technical changes to the cost-based reconciliation process and reporting requirements used to determine rates for psychiatric residential treatment facility (PRTF) services. It also transfers oversight authority for PRTFs from the Department of Children, Youth and Families to the state's Executive Office of Health and Human Services.

This plan amendment provides additional payments to non-state government public residential health care facilities.

This plan amendment proposes that Licensed Certified Professional Midwives who provide maternal health services will be eligible to receive quality incentive add-on payments when postpartum care visits are conducted.

This plan amendment updates the payment methodologies for vision services.

This plan amendment establishes a new class of supplemental payments to qualifying Medical Assistance (MA) enrolled freestanding children’s hospitals located in a city of the first class.

This plan amendment updates the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) reimbursement rates for select audiology services.

This plan amendment transitions the safety net hospital obstetrical program from a state plan authority to a directed payments authority.

This SPA allows Virginia to update the state’s excluded drug listing.

This amendment proposes that Rhode Island update its Medicaid State Plan to attest compliance with the new “four walls” exception for Indian Health Services (IHS) and Tribal Facilities.