Medicaid State Plan Amendments

This plan amendment updates the Nursing Facility Rate increases to property rates for four nursing facilities.

This amendment updates the community health worker and community health representative provider qualification language and establish hard limitations on services under the preventative benefit.

This amendment adds a Recovery Audit Contractor (RAC) Exemption for a period of two years beginning July 1, 2024.

This amendment add to bar liable third-party payers from refusing to reimburse the Medicaid program for an item or service solely on the basis of no prior authorization.

This amendment proposes to request an extension of the exception from participation in the Recovery Audit Contractor’s (RAC) Program.

This plan amendment establishes a new class of supplemental payments to qualifying Medical Assistance (MA) enrolled acute care general hospitals that provide inpatient services to MA beneficiaries.

This amendment provides the states' annual rate increases across all benefit categories with an effective date of January 1, 2025.

This SPA authorizes the state to enter into value-based supplemental drug rebate agreements on a voluntary basis.

This amendment proposes a change to lactation counseling services. The current limit of five sessions per child will increase to ten.

This amendment will revise the Medicaid PACE Rate methodology to ensure that legislatively mandated fee schedule adjustments are reflected in the rates paid to PACE.